Active NPI
Carrie Kirkwood, CCC-SLP
- Speech-Language Pathologist
- Madisonville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 138701
- Practice address
- 800 Hospital Dr
Madisonville, KY 42431-1658 - Phone
- (270) 825-5166
- Fax
- (270) 825-5497
- NPI assigned
- Feb 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 138701 | KY | Primary |
Addresses
Primary practice location
800 Hospital Dr
Madisonville, KY 42431-1658
Mailing address
800 Hospital Dr
Madisonville, KY 42431-1658
Phone (270) 825-5166
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138701 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caldwell County Hospital, Inc. | Current | Accepting new patients | |
| Caldwell County Hospital, Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Caldwell County Hospital, Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Baptist Health Madisonville Inc | Past | Accepting new patients |
Locations
100 Medical Center Dr
Princeton, KY 42445
Phone (270) 365-0300
550 US Highway 62 W
Ste 400
Princeton, KY 42445
Phone (270) 365-0300
320 Micbeth Dr
Princeton, KY 42445
Phone (270) 365-0320
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GIDFCD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Medicine Physician
- Princeton, KY
- NPI 1780688333
Speech-Language Pathologist
-
dba Caldwell Medical Associates
- Physician Assistant
- Princeton, KY
- NPI 1891207460
Speech-Language Pathologist
-
dba Caldwell Medical Associates
- Rural Health Clinic/Center
- Eddyville, KY
- NPI 1780464826
-
dba Baptist Health Medical Associates
- Family Medicine Physician
- Madisonville, KY
- NPI 1174708259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1699214882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 HOSPITAL DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311658",
"telephone_number": "270-825-5166",
"fax_number": "270-825-5497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HOSPITAL DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311658",
"telephone_number": "270-825-5166",
"fax_number": "270-825-5497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKWOOD",
"first_name": "CARRIE",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "138701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.