Carolyn Knothe, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3834 Issued in ME

Practice address

5 Dunaway Dr
Sanford, ME 04073-5143

Phone

(207) 797-8255

NPI assigned

Oct 25, 2021

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696118400000",
    "number": "1689338709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 FOREST AVE STE 301",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031884",
            "telephone_number": "207-797-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DUNAWAY DR",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040735143",
            "telephone_number": "207-797-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOTHE",
        "first_name": "CAROLYN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2023-10-01",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP3834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Corrine Kierstead, PMHNP-BC
• Misty Killeen, RDH
• William T. Kirn, O.D.
• Diane K Kitchen, PT
• Emily Elizabeth Klesitz, L.AC, DIPL.AC
• Terry Lacroix, RN BSN
• Ronia Autasia Laita-Clement, R.D.H.
• Chase Lamontagne, DPT
• Kaelen J Landfair, LMSW CONDITIONAL
• Casey Hope Lapierre, D.C.

• Speech-Language Pathologist in Sanford, ME
• Providers in Sanford, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2023; 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.