Individual provider Active NPI

Carol Katherine Krusemark, SLPD, CCC-SLP

  • Speech-Language Pathologist
  • Saratoga Springs, NY
National Provider Identifier
1588864391
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
007039 Issued in NY
Practice address
22 Sherwood TRL
Saratoga Springs, NY 12866-6145
Phone
(707) 365-9273
NPI assigned
Jul 19, 2007
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7801 MA
Speech-Language Pathologist 235Z00000X 11989 CA
Speech-Language Pathologist 235Z00000X 007039 NY Primary

Addresses

Primary practice location

22 Sherwood TRL
Saratoga Springs, NY 12866-6145

Mailing address

22 Sherwood TRL
Saratoga Springs, NY 12866-6145
Phone (707) 365-9273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105001803 NY Practitioner - Qualified Speech Language Pathologist 7113417544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of Connecticut School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22 Sherwood TRL
Saratoga Springs, NY 12866-6145
Phone (518) 595-8334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7801MAMDMental Health Counselor
11989CAMDSpeech-Language Pathologist
007039NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Vocal Wellness Speech Pathology, PLLC CurrentSince Oct 23, 2025 Accepting new patients

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, 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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1588864391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SHERWOOD TRL",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666145",
            "telephone_number": "707-365-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SHERWOOD TRL",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666145",
            "telephone_number": "707-365-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSEMARK",
        "first_name": "CAROL",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "SLPD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7801",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "11989",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.