Connie Carpentier, SPEECH LANGUAGE PATH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP8974 Issued in CA

Practice address

2624 El Camino Real Ste B
Carlsbad, CA 92008-1250

Phone

(760) 363-3456

Fax

(760) 696-3458

NPI assigned

Jun 6, 2024

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

Locations

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.

• Family First Speech Therapy

  • Hearing and Speech Clinic/Center
  • Carlsbad, CA
  • NPI 1588410955
  NPD

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": "1821830357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 EL CAMINO REAL STE B",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081250",
            "telephone_number": "760-363-3456",
            "fax_number": "760-696-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 EL CAMINO REAL STE B",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081250",
            "telephone_number": "760-363-3456",
            "fax_number": "760-696-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTIER",
        "first_name": "CONNIE",
        "credential": "SPEECH LANGUAGE PATH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP8974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Brede Carlton, RDN
• Vivian W Carlton, PA-C
• Starr Carlyle-Coalson
• Blaine Carman, MFT
• Jannette Carmona
• Brittani Carpinelli, FNP
• Gabriela Carreathers
• Corina Carreon
• Carriage 22
• Jackelyn Cecilia Carrillo, RBT

• Speech-Language Pathologist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Speech-Language Pathologist in California

• 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.