Individual provider Active NPI

Carrie Kirkwood, CCC-SLP

  • Speech-Language Pathologist
  • Madisonville, KY
National Provider Identifier
1699214882
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
138701 Issued in KY
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

Updated by the provider on Feb 22, 2017

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 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

LicenseStateTypeSpecialty
138701KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell County Hospital, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Caldwell County Hospital, Inc Speech-Language Pathologist CurrentSince Feb 1, 2025 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.