Individual provider Active NPI

Carletta Joan Dukart, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Bloomington, MN
National Provider Identifier
1962611954
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8145 Issued in MN
Practice address
8100 Highwood Dr
Bloomington, MN 55438-1006
Phone
(952) 830-9586
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8145 MN Primary

Addresses

Primary practice location

8100 Highwood Dr
Bloomington, MN 55438-1006

Mailing address

6754 Woodhill TRL
Eden Prairie, MN 55346-2608
Phone (952) 934-1114

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

LicenseStateTypeSpecialty
8145MNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1962611954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6754 WOODHILL TRL",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553462608",
            "telephone_number": "952-934-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 HIGHWOOD DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381006",
            "telephone_number": "952-830-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKART",
        "first_name": "CARLETTA",
        "middle_name": "JOAN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.