Individual provider Active NPI

Karen Ball, MPA, MS CCC-SLP

  • Speech-Language Pathologist
  • Flushing, NY
National Provider Identifier
1609186717
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
006800-1 Issued in NY
Practice address
6530 Kissena Blvd
Flushing, NY 11367-1575
Phone
(917) 670-7356
NPI assigned
Oct 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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 6800 NY
Speech-Language Pathologist 235Z00000X 006800-1 NY Primary

Addresses

Primary practice location

6530 Kissena Blvd
Flushing, NY 11367-1575

Mailing address

6530 Kissena Blvd
Flushing, NY 11367-1575
Phone (917) 670-7356

Other practice location 1

555 E 70th St
New York, NY 10021-4825
Phone (917) 670-7356

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
006800-1NYMDPhysical Therapist
6800NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1609186717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671575",
            "telephone_number": "917-670-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671575",
            "telephone_number": "917-670-7356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 E 70th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214825",
            "country_code": "US",
            "telephone_number": "917-670-7356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "KAREN",
        "credential": "MPA, MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "6800",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006800-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.