Individual provider Active NPI

Caroline Coldiron, CCC-SLP

  • Speech-Language Pathologist
  • Somerset, KY
National Provider Identifier
1801699772
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
294160 Issued in KY
Practice address
401 Bogle St Ste 206
Somerset, KY 42503-2850
Phone
(606) 398-8234
Fax
(606) 398-8235
NPI assigned
Mar 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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 294160 KY Primary

Addresses

Primary practice location

401 Bogle St Ste 206
Somerset, KY 42503-2850

Mailing address

401 Bogle St Ste 206
Somerset, KY 42503-2850
Phone (606) 398-8234

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
294160KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Developmental Group Speech-Language Pathologist CurrentSince Mar 30, 2025 Accepting new patients

Locations

401 Bogle St
Ste 206
Somerset, KY 42503
Phone (606) 398-8234

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": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1801699772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BOGLE ST STE 206",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032850",
            "telephone_number": "606-398-8234",
            "fax_number": "606-398-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BOGLE ST STE 206",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032850",
            "telephone_number": "606-398-8234",
            "fax_number": "606-398-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLDIRON",
        "first_name": "CAROLINE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "294160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.