Active NPI
Carla Harvill
- Speech-Language Pathologist
- Vero Beach, FL
National Provider Identifier
1306213178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1098
- Practice address
- 1140 7TH CT
Vero Beach, FL 32960-5761 - Phone
- (772) 584-3888
- Fax
- (772) 584-3889
- NPI assigned
- Aug 28, 2015
- Last updated
- Aug 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1098 | GA | Primary |
Addresses
Primary practice location
1140 7TH CT
Vero Beach, FL 32960-5761
Mailing address
1140 7TH CT
Vero Beach, FL 32960-5761
Phone (772) 584-3888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1098 | Other | GA | GEORGIA STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1098 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whiting Pediatric Therapy Services, LLC. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Vero Beach, FL
- NPI 1295053007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1306213178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 7TH CT",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605761",
"telephone_number": "772-584-3888",
"fax_number": "772-584-3889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 7TH CT",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605761",
"telephone_number": "772-584-3888",
"fax_number": "772-584-3889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVILL",
"first_name": "CARLA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-28",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "1098",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA STATE LICENSE",
"identifier": "1098",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.