Karen E Goetchius, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012523-1 Issued in NY

Practice address

106 Paddock Dr
Syracuse, NY 13214-2108

Phone

(315) 299-8964

NPI assigned

Oct 20, 2010

Last updated

Aug 5, 2019By the provider in NPPES

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 2

Other names 1

• Ms. Karen Goetchius Nevin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1528378767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PADDOCK DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142108",
            "telephone_number": "315-299-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PADDOCK DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142108",
            "telephone_number": "315-299-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETCHIUS",
        "first_name": "KAREN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012523-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA LICENSE",
            "identifier": "09145301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE - SPEECH-LANGUAGE PATHOLOGIT",
            "identifier": "012523-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "NEVIN",
            "middle_name": "GOETCHIUS",
            "prefix": "MS.",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vickie Godbold, LPN
• Orisha Goddard, RN
• Karen Ann Godlewski, M.S. CCC-SLP
• Vikas Goel, D.D.S
• Kerry L Goessling, NP
• Kathleen M Goff, NP
• Linda M Goff, RN, BSN, FNP
• Paul S. Goggi Jr., MSW
• Carolina Goich, NP
• Ian Gokey, PA

• Speech-Language Pathologist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.