MRS. MARY KATHERINE CARROLL (NPI# 1255469912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255469912 |
| Entity Type | Individual |
| Full Name | MRS. MARY KATHERINE CARROLL |
| Credential | SLP |
| Practice Address |
1401 South Federal Highway Fort Lauderdale FL 33316-2619 |
| Practice Telephone | 9549439589 |
| Practice Fax Number | 9549434115 |
| Mailing Telephone | 9547125091 |
| Mailing Fax Number | 9547792316 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2012-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA3241 | FL | Speech, Language and Hearing Service Providers |
| N | 222Q00000X | Developmental Therapist | SA3241 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 88255300 | 05 | |
| FL | 812122200 | 05 | |
| FL | LISENCE | SA3241 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790155141 | Mary Catherine Carroll | Dentist | 1018 Cross Bow Dr, Hendersonville, TN 37075-9402 | 2015-09-28 |
| 1285993055 | Mary Miles Carroll | Counselor | 410 E Victoria St, Santa Barbara, CA 93101-1225 | 2012-05-14 |
| 1609148378 | Mary Virginia Carroll | Doula | 216 West St, Wilkinsburg, PA 15221-3339 | 2012-01-27 |
| 1184836694 | Mary Elizabeth Carroll | Physical Therapist | 15 Halko Dr, Cedar Knolls, NJ 07927-1306 | 2007-05-04 |
| 1679674212 | Mary N. Carroll | Counselor | 1400 Barbara Loop Se Ste D, Rio Rancho, NM 87124-1088 | 2006-09-26 |
| 1750359303 | Mary Katherine Carroll | Nurse Practitioner | 7990 Arco Corporate Dr, Raleigh, NC 27617-2029 | 2006-03-09 |
| 1730153636 | Mary Elizabet Carroll | Internal Medicine | 9110 Philadelphia Rd., Ste. 108, Rosedale, MD 21237-4301 | 2006-02-15 |
| 1205474897 | Mary Catherine Carroll | Student in an Organized Health Care Education/Training Program | 1149 S Hill St Ste H-375, Los Angeles, CA 90015-2212 | 2019-12-15 |
| 1508401134 | Mary Shannon Carroll | Audiologist | 140 Bergen Street, E-1680, Newark, NJ 07103 | 2019-11-07 |
| 1407343437 | Mary Katherine Carroll | Occupational Therapist | 4210 Telegraph Ln, Vermilion, OH 44089-3748 | 2018-04-16 |
| Street Address |
1401 SOUTH FEDERAL HIGHWAY |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679538854 | Maria D. Barrueco-casariego | Pediatrics | 1401 South Federal Highway, Fort Lauderdale, FL 33316-2619 | 2006-04-19 |
| 1982839114 | Robin Susser | Speech-Language Pathologist | 1401 South Federal Highway, Fort Lauderdale, FL 33316-2619 | 2009-05-18 |
| 1891902763 | Carol Rosenfeld | Speech-Language Pathologist | 1401 South Federal Highway, Fort Lauderdale, FL 33316-2619 | 2007-05-17 |
| 1821119520 | Gloria Elena Morales | Speech-Language Pathologist | 1401 South Federal Highway, Fort Lauderdale, FL 33316-2619 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475094 | Erika Michele Moorman | Speech-Language Pathologist | 1031 Seminole Dr, Fort Lauderdale, FL 33304-3243 | 2020-10-18 |
| 1720607195 | Chrisitna Amoret Mucciolo | Speech-Language Pathologist | 1112 Ne 16th Ave, Fort Lauderdale, FL 33304-2317 | 2020-04-15 |
| 1083240428 | Kelly R Vogel | Speech-Language Pathologist | 2130 Sw 14th Ter, Fort Lauderdale, FL 33315-2334 | 2020-03-17 |
| 1457997769 | Joseph John Devlin IIi | Speech-Language Pathologist | 5975 N Federal Hwy Ste 244, Fort Lauderdale, FL 33308-2652 | 2019-11-21 |
| 1760048730 | Danielle Jacqueline Shore Giarratano | Speech-Language Pathologist | 1522 Sw 10th Ave, Fort Lauderdale, FL 33315-1621 | 2019-05-15 |
| 1982167094 | Alexandra Kaplan | Speech-Language Pathologist | 475 N Federal Hwy Apt 2401, Fort Lauderdale, FL 33301-2187 | 2019-04-08 |
| 1518474337 | Jessica Perrin | Speech-Language Pathologist | 520 Se 5th Ave Apt 3404, Fort Lauderdale, FL 33301-2960 | 2018-01-02 |
| 1871010371 | Lorrie Remy | Speech-Language Pathologist | 2655 E Oakland Park Blvd Ste 5, Fort Lauderdale, FL 33306-1608 | 2017-08-25 |
| 1093263956 | Lindsay Elizabeth Halas | Speech-Language Pathologist | 533 Ne 3rd Ave Apt 337, Fort Lauderdale, FL 33301 | 2016-09-20 |
| 1568811214 | Ellene Agnes Amodie | Speech-Language Pathologist | 2635 Yacht Club Blvd, Fort Lauderdale, FL 33304-4529 | 2016-06-03 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on MRS. MARY KATHERINE CARROLL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.