Karlen J Cantrell, MA CCS SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

112458 Issued in MO

Practice address

2400 Lakeview Dr
Ste 102
Amarillo, TX 79109-1532

Phone

(806) 468-9400

Fax

(806) 468-9401

NPI assigned

May 22, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1417114810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 LAKEVIEW DR",
            "address_2": "STE 102",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091532",
            "telephone_number": "806-468-9400",
            "fax_number": "806-468-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LAKEVIEW DR",
            "address_2": "STE 102",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091532",
            "telephone_number": "806-468-9400",
            "fax_number": "806-468-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "KARLEN",
        "middle_name": "J",
        "credential": "MA CCS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "112458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465734408",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.