Individual provider Active NPI

Karen Fittinger, CCC-SLP

  • Speech-Language Pathologist
  • Roseville, CA
National Provider Identifier
1295068773
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13761 Issued in CA
Practice address
198 Cirby Way Ste 140
Roseville, CA 95678-6430
Phone
(916) 773-8282
NPI assigned
Sep 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 13761 CA Primary

Addresses

Primary practice location

198 Cirby Way Ste 140
Roseville, CA 95678-6430

Mailing address

198 Cirby Way Ste 140
Roseville, CA 95678-6430
Phone (916) 773-8282

Other identifiers 1

IdentifierTypeStateIssuer
1972836971OtherCAMEDICAD APPLICATION IN PROGRESS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250404001655 CA Practitioner - Qualified Speech Language Pathologist 4688197791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13761CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Start Therapies Speech-Language Pathologist Current Accepting new patients
Bright Start Therapies, Inc. Speech-Language Pathologist CurrentSince Mar 14, 2025 Accepting new patients

Locations

198 Cirby Way
Ste 140
Roseville, CA 95678
Phone (916) 773-8282

Interoperability endpoints

  • Direct secure messaging: brightstarttherapies.karenfittinger@146408.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1295068773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 CIRBY WAY STE 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786430",
            "telephone_number": "916-773-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 CIRBY WAY STE 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786430",
            "telephone_number": "916-773-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITTINGER",
        "first_name": "KAREN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "13761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAD APPLICATION IN PROGRESS",
            "identifier": "1972836971",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.