Organization Active NPI

Caroline J. Connelly,Ms/CCC-SLP,PC;PA

  • Speech-Language Pathologist
  • Lake Worth, FL
National Provider Identifier
1932340650
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA4555 Issued in FL
Legal business name
CAROLINE J. CONNELLY,MS/CCC-SLP,PC;PA
Practice address
7800 Great Oak Dr
Lake Worth, FL 33467-7110
Phone
(561) 433-1345
Fax
(561) 357-5720
NPI assigned
Mar 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Caroline J. Connelly, MS/CCC-SLP,PC;PA
Title
Speech Language Pathologist
Phone
(561) 433-1345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA4555 FL Primary

Addresses

Primary practice location

7800 Great Oak Dr
Lake Worth, FL 33467-7110

Mailing address

7800 Great Oak Dr
Lake Worth, FL 33467-7110
Phone (561) 433-1345

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1932340650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 GREAT OAK DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677110",
            "telephone_number": "561-433-1345",
            "fax_number": "561-357-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 GREAT OAK DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677110",
            "telephone_number": "561-433-1345",
            "fax_number": "561-357-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE J. CONNELLY,MS/CCC-SLP,PC;PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "561-433-1345",
        "authorized_official_credential": "MS/CCC-SLP,PC;PA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.