Karen M. Underwood, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-0689 Issued in WV

Practice address

111 Fayette Ave
Fayetteville, WV 25840-1219

Phone

(304) 574-1176

NPI assigned

Oct 18, 2007

Last updated

Oct 18, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fayette County Board of Education

  • Local Education Agency (LEA)
  • Fayetteville, WV
  • NPI 1568662609
  NPD (past)
• Fayette County Board of Education

  • Local Education Agency (LEA)
  • Fayetteville, WV
  • NPI 1760651483
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1932398666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "HILLTOP",
            "state": "WV",
            "postal_code": "258550324",
            "telephone_number": "304-465-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FAYETTE AVE",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258401219",
            "telephone_number": "304-574-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "KAREN",
        "middle_name": "M.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-0689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012397000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Gene Sweet, ED. S.
• Kimberly Ann Thomas, MS CCC/SLP
• Tori Treadway
• Ariel Turner, M.A. CCC-SLP
• Faith A Tyler, FNP
• Urgent Care, Inc - West Virginia (Urgent Care, Inc - West Virginia Fayetteville)
• Pamela Renee Vance
• Anthony Vargo, APRN, FNP-BC
• Vitality Aesthetics and Wellness, LLC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1360)

• Speech-Language Pathologist in Fayetteville, WV
• Providers in Fayetteville, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.