Active NPI
Karen S. Black, SPEECH LANGUAGE PATH
- Speech-Language Pathologist
- Salem, VA
National Provider Identifier
1851699185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202001000
- Practice address
- 126 Mill Lane
Heartland Rehabilitation Services of Virginia
Salem, VA 24153 - Phone
- (540) 387-4311
- Fax
- (540) 389-6212
- NPI assigned
- Mar 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202001000 | VA | Primary |
Addresses
Primary practice location
126 Mill Lane
Heartland Rehabilitation Services of Virginia
Salem, VA 24153
Mailing address
126 Mill Lane
Heartland Rehabilitation Services of Virginia
Salem, VA 24153
Phone (540) 387-4311
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2202001000 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1851699185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 MILL LANE",
"address_2": "HEARTLAND REHABILITATION SERVICES OF VIRGINIA",
"city": "SALEM",
"state": "VA",
"postal_code": "24153",
"telephone_number": "540-387-4311",
"fax_number": "540-389-6212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 MILL LANE",
"address_2": "HEARTLAND REHABILITATION SERVICES OF VIRGINIA",
"city": "SALEM",
"state": "VA",
"postal_code": "24153",
"telephone_number": "540-387-4311",
"fax_number": "540-389-6212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "KAREN",
"middle_name": "S.",
"credential": "SPEECH LANGUAGE PATH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-10",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202001000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.