Karen D Packer, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1439 Issued in NC

Practice address

1906 Dallas Cherryville Hwy
Dallas, NC 28034-0899

Phone

(704) 922-5259

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679690994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 PENNTON AVE SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455743",
            "telephone_number": "828-757-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 DALLAS CHERRYVILLE HWY",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280340899",
            "telephone_number": "704-922-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "KAREN",
        "middle_name": "D",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412626",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cynthia Pate-Stuppnig
• Nishma Patel, PHARMD
• Vimal Patel, M.S - PHARMACY
• Eric Jamarrus Paul, FNP-C
• Marie Laura Paulemond, PHARMD, RPH

• All providers in Dallas, NC
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.