Kim Marie Larock-Kasper

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

58007660 Issued in NY

Practice address

430 Young St
Wilson, NY 14172-9745

Phone

(716) 751-9341

NPI assigned

Dec 29, 2011

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Wilson Central School District

  • Local Education Agency (LEA)
  • Wilson, NY
  • NPI 1306233960
  NPD (past)
• Wilson Central Schools

  • Local Education Agency (LEA)
  • Wilson, NY
  • NPI 1477606994
  NPD (past)

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1750650271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 WOODLAND AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041311",
            "telephone_number": "716-545-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 YOUNG ST",
            "city": "WILSON",
            "state": "NY",
            "postal_code": "141729745",
            "telephone_number": "716-751-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCK-KASPER",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58007660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Introspective Journey Psychological Services, PLLC
• Jacob a. Graca, DDS PLLC
• Amy Beth Janese
• Tara Johnson, LPN
• Clara Kuntz, PH.D.
• Melissa M Lassman
• Deanna Janice Leavitt-Judware, LPN
• Karen A. Libordi, R.N.
• Ryan Douglas Monteleone, DC
• Renee L Nye, RN

• All providers in Wilson, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.