Caroline Isabella Matar

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ11984 Issued in FL

Practice address

401 N Alf Coleman Rd
Panama City Beach, FL 32407-2567

Phone

(850) 749-5020

NPI assigned

Jun 7, 2024

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1871335299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 TOWN VILLAGE BLVD APT 7303",
            "city": "MEXICO BEACH",
            "state": "FL",
            "postal_code": "324567217",
            "telephone_number": "682-209-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N ALF COLEMAN RD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072567",
            "telephone_number": "850-749-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAR",
        "first_name": "CAROLINE",
        "middle_name": "ISABELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah J Martin Matherne, CRNA
• Christy D Martin, DNP, APRN
• Tiffany Arnold Martin, APRN-C
• Jennifer Marie Martinez
• Rosina Ann Marzullo, PTA
• Maverick Performance and Physical Therapy
• Maverick Performance and Physical Therapy
• Amanda Garrett May, LPTA
• Mayo Home Health Care Corp
• Brianna Mayo

• Speech-Language Pathologist in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.