Karen Rose Eadie, WA STATE SLP LICENSE

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL 00001596 Issued in WA

Practice address

112 Elliott Ave S
Wenatchee, WA 98801-2500

Phone

(509) 663-7117

Fax

(509) 662-9227

NPI assigned

Dec 14, 2012

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

Other names 1

• Miss Karen Rose Allen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Wenatchee School District

  • Local Education Agency (LEA)
  • Wenatchee, WA
  • NPI 1477655629
  NPD (past)

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1982940250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ELLIOTT AVE S",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012500",
            "telephone_number": "509-663-7117",
            "fax_number": "509-662-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ELLIOTT AVE S",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012500",
            "telephone_number": "509-663-7117",
            "fax_number": "509-662-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADIE",
        "first_name": "KAREN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "WA STATE SLP LICENSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 00001596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "ALLEN",
            "middle_name": "ROSE",
            "prefix": "MISS",
            "credential": "C.C.C.-SLP FROM ASHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Juliane Durett, PA-C
• Janey D. Duskin-Gilmour, BSN, RN
• Chad D Duvall, LMP
• Erin Rae Duvall, L.AC, ARNP
• Lonnie Edward Dye III, M.D.
• Erin Eastep
• Gregory Dean Eberhart, M.D.
• Diane Kay Eccles
• Mary-Jo M Eddy, CD
• Anna K Edelman, PHD

• Speech-Language Pathologist in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.