Individual provider Active NPI

Karen S. Horton, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Palm Coast, FL
National Provider Identifier
1528089919
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 5645 Issued in FL
Practice address
4 Office Park Dr Ste 4
Palm Coast, FL 32137-3831
Phone
(386) 446-9935
Fax
(386) 446-7777
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2024

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 SA 5645 FL Primary

Addresses

Primary practice location

4 Office Park Dr Ste 4
Palm Coast, FL 32137-3831

Mailing address

4077 N Chinook LN
Ormond Beach, FL 32174-9326
Phone (386) 446-9935

Other identifiers 2

IdentifierTypeStateIssuer
SA 5645OtherFLPROFESSIONAL LICENSE #
022941400MedicaidFL

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 Arts

State licenses

LicenseStateTypeSpecialty
SA 5645FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Works Pediatric Therapy, LLC Speech-Language Pathologist Current Accepting new patients

Locations

4 Office Park Dr
Ste 4
Palm Coast, FL 32137
Phone (386) 225-4553

4875 Palm Coast Pkwy NW
Unit 2
Palm Coast, FL 32137
Phone (386) 225-6134

808 Dunlawton Ave
Ste 4
Port Orange, FL 32127
Phone (720) 955-9656

5650 S Washington Ave
Titusville, FL 32780
Phone (321) 264-0855

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734220800000",
    "number": "1528089919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 N CHINOOK LN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749326",
            "telephone_number": "386-446-9935",
            "fax_number": "386-405-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK DR STE 4",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373831",
            "telephone_number": "386-446-9935",
            "fax_number": "386-446-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "KAREN",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 5645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE #",
            "identifier": "SA 5645",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022941400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.