Organization Active NPI

Kate Pollard, LLC

  • Speech-Language Pathologist
  • Marietta, GA
National Provider Identifier
1023419835
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
007656 Issued in GA
Legal business name
KATE POLLARD, LLC
Practice address
1515 Kingfisher Dr
Marietta, GA 30062-2887
Phone
(415) 517-4092
NPI assigned
Sep 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathleen Renee Pollard, M.A., CCC-SLPNPI 1811271455
Title
Member/Manager
Phone
(415) 517-4092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 007656 GA Primary

Addresses

Primary practice location

1515 Kingfisher Dr
Marietta, GA 30062-2887

Mailing address

1515 Kingfisher Dr
Marietta, GA 30062-2887
Phone (415) 517-4092

Other identifiers 1

IdentifierTypeStateIssuer
003147070BMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1023419835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 KINGFISHER DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622887",
            "telephone_number": "415-517-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 KINGFISHER DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622887",
            "telephone_number": "415-517-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATE POLLARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "415-517-4092",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "007656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003147070B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.