Individual provider Active NPI

Janine Renee Everts-Carolini, CCC-SLP

  • Speech-Language Pathologist
  • Yonkers, NY
National Provider Identifier
1407009558
Registry record updated Nov 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
017113 Issued in NY
Practice address
1 Odell PLZ
Yonkers, NY 10701-1402
Phone
(914) 965-1152
Fax
(914) 965-1419
NPI assigned
Nov 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2008

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 017113 NY Primary

Addresses

Primary practice location

1 Odell PLZ
Yonkers, NY 10701-1402

Mailing address

1 Odell PLZ
Yonkers, NY 10701-1402
Phone (914) 965-1152

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

LicenseStateTypeSpecialty
017113NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225584000000",
    "number": "1407009558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ODELL PLZ",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011402",
            "telephone_number": "914-965-1152",
            "fax_number": "914-965-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ODELL PLZ",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011402",
            "telephone_number": "914-965-1152",
            "fax_number": "914-965-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERTS-CAROLINI",
        "first_name": "JANINE",
        "middle_name": "RENEE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-02",
        "last_updated": "2008-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2008; 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.