Individual provider Active NPI

Isabelle Beth Gonzalez-Karcs, M.S.-SLP-CCC

  • Speech-Language Pathologist
  • Petaluma, CA
National Provider Identifier
1801637376
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11916 Issued in CA
Practice address
135 Keller St Ste 1
Petaluma, CA 94952-2943
Phone
(415) 613-8964
NPI assigned
Jun 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 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 11916 CA Primary

Addresses

Primary practice location

135 Keller St Ste 1
Petaluma, CA 94952-2943

Mailing address

2365 Curtis Dr
Penngrove, CA 94951-9795
Phone (415) 613-8964

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

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1801637376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 CURTIS DR",
            "city": "PENNGROVE",
            "state": "CA",
            "postal_code": "949519795",
            "telephone_number": "415-613-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 KELLER ST STE 1",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522943",
            "telephone_number": "415-613-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-KARCS",
        "first_name": "ISABELLE",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "M.S.-SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "11916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.