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Active NPI 1083994891 Individual Practitioner Female Practitioner

Carolyn M Kavanagh

Speech-Language Pathologist • Santa Fe, NM

Professional Overview & Biography Verified Profile Summary

Carolyn Kavanagh is a registered healthcare professional specializing in Speech-Language Pathologist in Santa Fe, NM. Practice services are available at 1241A CERRO GORDO RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1241a Cerro Gordo Rd

Santa Fe, NM 875016106

Telephone 3077607079
Fax 5054672648

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Santa Fe, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.8 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
92 Specialists

Practicing in Santa Fe, NM (2057 Statewide)

Telehealth Adoption Rate
1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NM C-4984

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
E7606 (NM)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Michaela Granito-Tibbetts , LMSW

Social Worker - School

NPI 1609181429

Licensed Master Social Worker

Richard Gonzales , SLP

Speech-Language Pathologist

NPI 1982910394

Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 24, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2011

Registered at 1241A CERRO GORDO RD, SANTA FE, NM 875016106 (Tel: 3077607079)

📍
Updated Business Mailing Address August 24, 2011

Registered at 1241A CERRO GORDO RD, SANTA FE, NM 875016106 (Tel: 3077607079)

👤
Provider Name / Credentials Updated August 24, 2011

Recorded as CAROLYN KAVANAGH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2011

Speech-Language Pathologist (License #C-4984 in NM)

🟢
Initial NPI Registration & Enumeration August 24, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1083994891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2011
Last Update: August 24, 2011
Sole Proprietor: No

Mailing Address

1241a Cerro Gordo Rd

Santa Fe, NM 875016106

Phone: 3077607079

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.