Kathryn Jane Peters, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13667 Issued in NC

Practice address

3514 University Dr Ste 8
Durham, NC 27707

Phone

(919) 493-7002

Fax

(919) 403-1407

NPI assigned

Apr 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Developmental Therapy Associates, Inc.

  • Occupational Therapist
  • Durham, NC
  • NPI 1225146095
  NPD (past)
• Children'S Therapy Corner Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Midland, MI
  • NPI 1669418562
  NPD (past)

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1033606280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 UNIVERSITY DR STE 8",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072659",
            "telephone_number": "919-493-7002",
            "fax_number": "919-403-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 UNIVERSITY DR STE 8",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "919-493-7002",
            "fax_number": "919-403-1407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 Ridgewood Dr",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486426425",
            "country_code": "US",
            "telephone_number": "989-835-6333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 Ridgewood Dr",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486426425",
            "country_code": "US",
            "telephone_number": "989-835-6333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KATHRYN",
        "middle_name": "JANE",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005493",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathrynpeters@developmentaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "3514 University Dr Ste 8",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277072659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Peters
• Austin Peters, MD
• Candy Peters, RN
• Derek Peters
• Katherine Barnett Peters, M.D. PH.D.
• Nicholas Peters
• William Petersen, RBT
• Andrew Charles Peterson, MD
• Autumn Kirsten Peterson, CPNP-AC
• David Evans Peterson, M.D.

• Speech-Language Pathologist in Durham, NC
• Providers in Durham, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.