Active NPI
Katherine Jeanne Oberhofer, MS CCC-SLP
- Speech-Language Pathologist
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60201290
- Practice address
- 1417 116TH Ave NE Ste 110
Bellevue, WA 98004-3821 - Phone
- (425) 688-5911
- Fax
- (425) 688-5912
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 2202004899 | VA | |
| Speech-Language Pathologist | 235Z00000X | LL60201290 | WA | Primary |
Addresses
Primary practice location
1417 116TH Ave NE Ste 110
Bellevue, WA 98004-3821
Mailing address
2924 Queen Anne Ave N
Seattle, WA 98109-1728
Phone (509) 374-3920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1417 116TH Ave NE
Suite 110
Bellevue, WA 98004-3821
Phone (425) 688-5900
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202004899 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Speech Therapy, LLC | Current | Accepting new patients | |
| Overlake Medical Clinics LLC | Current | Accepting new patients | |
| Overlake Medical Clinics, LLC | Current | Accepting new patients |
Locations
1417 116th Ave NE
Ste 110
Bellevue, WA 98004
Phone (425) 688-5700
1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460
303 Bradley Blvd
Ste 102
Richland, WA 99352
Phone (509) 521-4034
Organizations & group practices 3
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.
-
- Specialist
- Bellevue, WA
- NPI 1801828421
-
- Hearing and Speech Clinic/Center
- Richland, WA
- NPI 1124466917
-
- Specialist
- Bellevue, WA
- NPI 1871745703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1023082286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2924 QUEEN ANNE AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981091728",
"telephone_number": "509-374-3920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 116TH AVE NE STE 110",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043821",
"telephone_number": "425-688-5911",
"fax_number": "425-688-5912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERHOFER",
"first_name": "KATHERINE",
"middle_name": "JEANNE",
"name_prefix": "Mrs.",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202004899",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60201290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.