Individual provider Active NPI

Marsha Lynn Karhoff-Burnett, M.S.,CCC/SLP

  • Speech-Language Pathologist
  • Bloomington, IL
National Provider Identifier
1649528514
Registry record updated Aug 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.001623 Issued in IL
Practice address
2 Cloverhill Cir
Bloomington, IL 61705-3300
Phone
(309) 838-6556
NPI assigned
Aug 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 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 146.001623 IL Primary

Addresses

Primary practice location

2 Cloverhill Cir
Bloomington, IL 61705-3300

Mailing address

2 Cloverhill Cir
Bloomington, IL 61705-3300
Phone (309) 838-6556

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
146.001623ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1345939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345939200000",
    "number": "1649528514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CLOVERHILL CIR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617053300",
            "telephone_number": "309-838-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CLOVERHILL CIR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617053300",
            "telephone_number": "309-838-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARHOFF-BURNETT",
        "first_name": "MARSHA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.S.,CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-26",
        "last_updated": "2012-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.001623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.