Active NPI
Karin Howard, M.A., CCC-SLP
- Speech-Language Pathologist
- Lake Balboa, CA
National Provider Identifier
1619204518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP8114
- Practice address
- 17636 Gilmore St
Lake Balboa, CA 91406-5309 - Phone
- (818) 705-3466
- Fax
- (818) 345-6963
- NPI assigned
- Nov 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP8114 | CA | Primary |
Addresses
Primary practice location
17636 Gilmore St
Lake Balboa, CA 91406-5309
Mailing address
PO Box 17263
Encino, CA 91416-7263
Phone (818) 705-3466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221227000314 | CA | Practitioner - Qualified Speech Language Pathologist | 7517337082 | Practice locations: Van Nuys, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17636 Gilmore St
Van Nuys, CA 91406-5309
Phone (818) 705-3466
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP8114 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1619204518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17263",
"city": "ENCINO",
"state": "CA",
"postal_code": "914167263",
"telephone_number": "818-705-3466",
"fax_number": "818-345-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17636 GILMORE ST",
"city": "LAKE BALBOA",
"state": "CA",
"postal_code": "914065309",
"telephone_number": "818-705-3466",
"fax_number": "818-345-6963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "KARIN",
"name_prefix": "Ms.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP8114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Balboa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.