Individual provider Active NPI

Karen Lynn Kozara, MA, CCC

  • Speech-Language Pathologist
  • Highland, MI
National Provider Identifier
1568674802
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01101919 Issued in MI
Practice address
2636 S Milford Rd
Highland, MI 48357-4938
Phone
(248) 684-9610
Fax
(248) 684-9611
NPI assigned
May 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 01101919 MI Primary

Addresses

Primary practice location

2636 S Milford Rd
Highland, MI 48357-4938

Mailing address

725 Hillcrest Cir Apt 203
Auburn Hills, MI 48326-4539
Phone (248) 765-7039

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
01101919MIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568674802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 HILLCREST CIR APT 203",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483264539",
            "telephone_number": "248-765-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 S MILFORD RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574938",
            "telephone_number": "248-684-9610",
            "fax_number": "248-684-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZARA",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "credential": "MA, CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "01101919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.