Individual provider Active NPI

Katherine Gunderman Camino, M.S., SLP

  • Speech-Language Pathologist
  • Cutler Bay, FL
National Provider Identifier
1629312129
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ5886 Issued in FL
Practice address
18951 SW 106TH Ave
Suite 110
Cutler Bay, FL 33157-7668
Phone
(305) 233-4448
NPI assigned
Nov 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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 SZ5886 FL Primary

Addresses

Primary practice location

18951 SW 106TH Ave
Suite 110
Cutler Bay, FL 33157-7668

Mailing address

8012 SW 133Rd PL
Miami, FL 33183-4133
Phone (305) 298-4246

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
SZ5886FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1629312129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 SW 133RD PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834133",
            "telephone_number": "305-298-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18951 SW 106TH AVE",
            "address_2": "SUITE 110",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577668",
            "telephone_number": "305-233-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMINO",
        "first_name": "KATHERINE",
        "middle_name": "GUNDERMAN",
        "name_prefix": "Ms.",
        "credential": "M.S., SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ5886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.