Individual provider Active NPI

Carolyn Stephenson Gosse, M.ED., PH.D.

  • Speech-Language Pathologist
  • Charlottesville, VA
National Provider Identifier
1316445893
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202006593 Issued in VA
Practice address
406 14TH St NW
Charlottesville, VA 22903-2305
Phone
(434) 245-2618
NPI assigned
Jan 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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 2202006593 VA Primary

Addresses

Primary practice location

406 14TH St NW
Charlottesville, VA 22903-2305

Mailing address

406 14TH St NW
Charlottesville, VA 22903-2305
Phone (434) 245-2618

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
Credentials
Master of Education, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2202006593VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1316445893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 14TH ST NW",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032305",
            "telephone_number": "434-245-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 14TH ST NW",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032305",
            "telephone_number": "434-245-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSE",
        "first_name": "CAROLYN",
        "middle_name": "STEPHENSON",
        "name_prefix": "Dr.",
        "credential": "M.ED., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.