Individual provider Active NPI

Heather Katsahnias, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Fort Worth, TX
National Provider Identifier
1003350547
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
109553 Issued in TX
Practice address
1125 Lakin Rd
Fort Worth, TX 76177-1828
Phone
(832) 671-1202
NPI assigned
Dec 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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 109553 TX Primary

Addresses

Primary practice location

1125 Lakin Rd
Fort Worth, TX 76177-1828

Mailing address

1125 Lakin Rd
Fort Worth, TX 76177-1828
Phone (832) 671-1202

Other practice location 1

112 N 3rd St
Leesville, LA 71446-4014
Phone (337) 239-3334

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
109553TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wardell Interests, Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1003350547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 LAKIN RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771828",
            "telephone_number": "832-671-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 LAKIN RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771828",
            "telephone_number": "832-671-1202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "714464014",
            "country_code": "US",
            "telephone_number": "337-239-3334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATSAHNIAS",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.