Individual provider Active NPI

Karen D Doerrfeld, SLP

  • Speech-Language Pathologist
  • Elliottville, KY
National Provider Identifier
1720369333
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
KY-0637 Issued in KY
Practice address
662 L.Cooper Rd.
Elliottville, KY 40317
Phone
(606) 784-9226
NPI assigned
Sep 9, 2011
Last updated
Sep 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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 KY-0637 KY Primary

Addresses

Primary practice location

662 L.Cooper Rd.
Elliottville, KY 40317

Mailing address

PO Box 177
Elliottville, KY 40317-0177
Phone (606) 784-9226

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
KY-0637KYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1720369333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "ELLIOTTVILLE",
            "state": "KY",
            "postal_code": "403170177",
            "telephone_number": "606-784-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 L.COOPER RD.",
            "city": "ELLIOTTVILLE",
            "state": "KY",
            "postal_code": "40317",
            "telephone_number": "606-784-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERRFELD",
        "first_name": "KAREN",
        "middle_name": "D",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-0637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.