Carolyn Carter

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6801074 Issued in TN

Practice address

112 Jordan Dr
Chattanooga, TN 37421-6802

Phone

(423) 468-4060

Fax

(423) 468-4069

NPI assigned

Nov 7, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gaston Therapy, LLC

  • Pediatric Occupational Therapist
  • Chattanooga, TN
  • NPI 1437357456
  NPD (past)
• Stepping Stones Therapy Services, LLC

  • Mental Health Counselor
  • Chattanooga, TN
  • NPI 1114319126

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1386073500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 JORDAN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216802",
            "telephone_number": "423-468-4060",
            "fax_number": "423-468-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JORDAN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216802",
            "telephone_number": "423-468-4060",
            "fax_number": "423-468-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "6801074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis L Carruthers, DDS
• Penny J Carson, COF, CMF
• Philip C Carson, DDS
• Nicholas Dakota Carswell, FNP-C
• Cailey Carter
• Catherine Margaret Carter, LCSW
• Christine Joanne Carter, MD
• Destiny Kaye Carter, BEHAVIOR TECHNICIAN
• John Eric Carter, MD
• Kathryn Carter

• Speech-Language Pathologist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.