Active NPI
Carol Macomb
- Speech-Language Pathologist
- Coopersburg, PA
National Provider Identifier
1326413147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL002051L
- Practice address
- 551 E Station Ave
Coopersburg, PA 18036-2027 - Phone
- (484) 863-9220
- Fax
- (610) 769-0639
- NPI assigned
- Dec 4, 2015
- Sex
- Female
- Sole proprietor
- No
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 | SL002051L | PA | Primary |
Addresses
Primary practice location
551 E Station Ave
Coopersburg, PA 18036-2027
Mailing address
551 E Station Ave
Coopersburg, PA 18036-2027
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 |
|---|---|---|---|
| SL002051L | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Family Therapeutics | Past | Accepting new patients | |
| Valley Family Therapeutics, LLC | Past | Accepting new patients |
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.
-
- Rehabilitation Clinic/Center
- Coopersburg, PA
- NPI 1710314935
-
- Multi-Specialty Clinic/Center
- Coopersburg, PA
- NPI 1518336668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1326413147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 E STATION AVE",
"city": "COOPERSBURG",
"state": "PA",
"postal_code": "180362027",
"fax_number": "610-769-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 E STATION AVE",
"city": "COOPERSBURG",
"state": "PA",
"postal_code": "180362027",
"telephone_number": "484-863-9220",
"fax_number": "610-769-0639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACOMB",
"first_name": "CAROL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-04",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL002051L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coopersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.