Callie Kolb, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15230 Issued in OR

Practice address

748 Hawthorne Ave NE
Salem, OR 97301-4675

Phone

(503) 926-4299

Fax

(503) 926-9322

NPI assigned

Sep 6, 2016

Last updated

Sep 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Creating Pathways Pediatric Therapy

  • Speech-Language Pathologist
  • Salem, OR
  • NPI 1730635947
  NPD (past)

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1679020838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 HAWTHORNE AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014675",
            "telephone_number": "503-926-4299",
            "fax_number": "503-926-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 HAWTHORNE AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014675",
            "telephone_number": "503-926-4299",
            "fax_number": "503-926-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLB",
        "first_name": "CALLIE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "15230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Lindsey Knuth
• Steven Koc, D.C.
• Cynthia Marie Koch, OTR/L
• Linda Kay Koehn, PHARMD
• Erik Kokkonen, M.D.
• Vincent J Koletar, MD
• Theresa Ann Kollars, LPC
• Derek Koller, M.D.
• Alexandria Mary Kolody, LPN
• Laslo Emory Kolta, M.D.

• Speech-Language Pathologist in Salem, OR
• Providers in Salem, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.