Individual provider Active NPI

Carlie Wintersteen

  • Speech-Language Pathologist
  • Birmingham, AL
National Provider Identifier
1699509075
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5119 Issued in AL
Practice address
1976 Gadsden Hwy Ste 208
Birmingham, AL 35235-3266
Phone
(205) 202-1239
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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 5119 AL Primary

Addresses

Primary practice location

1976 Gadsden Hwy Ste 208
Birmingham, AL 35235-3266

Mailing address

101 Cahaba Forest Dr
Trussville, AL 35173-2083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241109000093 AL Practitioner - Qualified Speech Language Pathologist 0446784771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divergent Therapy Services LLCGroup PAC ID 0840733978, 2 clinicians

Practice addresses (Care Compare)

1976 Gadsden Hwy
Suite 208
Birmingham, AL 35235-3266
Phone (205) 202-1239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Divergent Therapy Services LLC Speech-Language Pathologist CurrentSince Sep 23, 2024 Accepting new patients

Locations

1976 Gadsden Hwy
Ste 208
Birmingham, AL 35235
Phone (205) 202-1239

Organizations & group practices 1

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": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1699509075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAHABA FOREST DR",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 GADSDEN HWY STE 208",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353266",
            "telephone_number": "205-202-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERSTEEN",
        "first_name": "CARLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "5119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.