Active NPI
Katelyn Ann Williams, M.A., CCC-SLP
- Speech-Language Pathologist
- Providence, RI
National Provider Identifier
1003361015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 520 Hope St
Providence, RI 02906-2532 - Phone
- (401) 383-3156
- NPI assigned
- Aug 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary | ||
| Counselor | 101Y00000X |
Addresses
Primary practice location
520 Hope St
Providence, RI 02906-2532
Mailing address
12 Benefit St
Providence, RI 02904-2729
Phone (319) 929-6507
Other practice location 1
25 Willow St
West Roxbury, MA 02132-1537
Phone (617) 469-3080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76374 | Other | MA | MA SPEECH LANGUAGE PATHOLOGY |
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 Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Kate LLC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Indianapolis, IN
- NPI 1144174061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1003361015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BENEFIT ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042729",
"telephone_number": "319-929-6507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 HOPE ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062532",
"telephone_number": "401-383-3156"
}
],
"practiceLocations": [
{
"address_1": "25 Willow St",
"address_purpose": "LOCATION",
"city": "West Roxbury",
"state": "MA",
"postal_code": "021321537",
"country_code": "US",
"telephone_number": "617-469-3080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KATELYN",
"middle_name": "ANN",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA SPEECH LANGUAGE PATHOLOGY",
"identifier": "76374",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.