Active NPI
Kathleen Ann Carney, M.S.
- Speech-Language Pathologist
- Glen Mills, PA
National Provider Identifier
1902925985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL005404L
- Practice address
- 22 Maple LN
Glen Mills, PA 19342-2250 - Phone
- (610) 459-9719
- Fax
- (610) 358-2832
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | SL005404L | PA | Primary |
Addresses
Primary practice location
22 Maple LN
Glen Mills, PA 19342-2250
Mailing address
22 Maple LN
Glen Mills, PA 19342-2250
Phone (610) 459-9719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018856800001 | Other | PA | MEDICAL ASSISTANCE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL005404L | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reaching Milestones Through Therapy, Inc. | Current | Accepting new patients |
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.
-
- Home Health Agency
- Chadds Ford, PA
- NPI 1700072600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189987200000",
"number": "1902925985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 MAPLE LN",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193422250",
"telephone_number": "610-459-9719",
"fax_number": "610-358-2832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 MAPLE LN",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193422250",
"telephone_number": "610-459-9719",
"fax_number": "610-358-2832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNEY",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL005404L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "1018856800001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Mills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.