Individual provider Active NPI

Karen Marie Casey, MA,CCC-SLP

  • Speech-Language Pathologist
  • Durham, NC
National Provider Identifier
1366566614
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1285 Issued in NC
Practice address
115 Market St Ste 201
Durham, NC 27701-3241
Phone
(919) 560-5600
Fax
(919) 560-3018
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1285 NC Primary

Addresses

Primary practice location

115 Market St Ste 201
Durham, NC 27701-3241

Mailing address

309 Butler Rd
Durham, NC 27703-3603
Phone (919) 560-5600

Other identifiers 1

IdentifierTypeStateIssuer
139CMOtherNCBLUECROSS BS PROVIDER ID

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 Arts

State licenses

LicenseStateTypeSpecialty
1285NCMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
NC DHHS Child and Family Well-Being 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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366566614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 BUTLER RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033603",
            "telephone_number": "919-560-5600",
            "fax_number": "919-560-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MARKET ST STE 201",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013241",
            "telephone_number": "919-560-5600",
            "fax_number": "919-560-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BS PROVIDER ID",
            "identifier": "139CM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.