Individual provider Active NPI

Karen Trachtenberg, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Ewa Beach, HI
National Provider Identifier
1497906770
Registry record updated Jan 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1444 Issued in HI
Practice address
91-1443 Kaikohola St
Ewa Beach, HI 96706-6521
Phone
(845) 699-1449
Fax
(808) 892-1021
NPI assigned
Oct 6, 2008
Last updated
Jan 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 01382-1 NY
Speech-Language Pathologist 235Z00000X 1444 HI Primary

Addresses

Primary practice location

91-1443 Kaikohola St
Ewa Beach, HI 96706-6521

Mailing address

91-1443 Kaikohola St
Ewa Beach, HI 96706-6521
Phone (845) 699-1449

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 Science

State licenses

LicenseStateTypeSpecialty
1444HIMDGeneral Practice Dentistry
01382-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Speech Pathology Services LLC Speech-Language Pathologist CurrentSince Jan 21, 2024 Accepting new patients
Oahu Speech Language Pathology Consultants Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1497906770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1443 KAIKOHOLA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066521",
            "telephone_number": "845-699-1449",
            "fax_number": "808-892-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1443 KAIKOHOLA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066521",
            "telephone_number": "845-699-1449",
            "fax_number": "808-892-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACHTENBERG",
        "first_name": "KAREN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "01382-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "1444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; 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.