Individual provider Active NPI

Caroline Bea O'Devlin, SLP

  • Speech-Language Pathologist
  • Pacifica, CA
National Provider Identifier
1841426392
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-7585 Issued in CA
Practice address
103 Franz Court
Pacifica, CA 94044
Phone
(650) 738-5941
Fax
(650) 738-5941
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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 SLP-7585 CA Primary

Addresses

Primary practice location

103 Franz Court
Pacifica, CA 94044

Mailing address

103 Franz Court
Pacifica, CA 94044
Phone (650) 738-5941

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP-7585CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1841426392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 FRANZ COURT",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "94044",
            "telephone_number": "650-738-5941",
            "fax_number": "650-738-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FRANZ COURT",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "94044",
            "telephone_number": "650-738-5941",
            "fax_number": "650-738-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DEVLIN",
        "first_name": "CAROLINE",
        "middle_name": "BEA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SLP-7585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacifica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.