Active NPI
Karen Louise Jacobs, SLP
- Speech-Language Pathologist
- Castle Rock, CO
National Provider Identifier
1407380702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP.0002757
- Practice address
- 48 Cherry St
Castle Rock, CO 80104-3200 - Phone
- (303) 704-0856
- NPI assigned
- Apr 13, 2017
- 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 | SLP.0002757 | CO | Primary |
Addresses
Primary practice location
48 Cherry St
Castle Rock, CO 80104-3200
Mailing address
48 Cherry St
Castle Rock, CO 80104-3200
Phone (303) 704-0856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP.0002757 | Other | CO | DORA |
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 |
|---|---|---|---|
| SLP.0002757 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492041600000",
"number": "1407380702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 CHERRY ST",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801043200",
"telephone_number": "303-704-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 CHERRY ST",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801043200",
"telephone_number": "303-704-0856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "KAREN",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-13",
"last_updated": "2017-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP.0002757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORA",
"identifier": "SLP.0002757",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.