Kathrine Ann Wagner Van Gammeren, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

031638 Issued in NY

Practice address

650 Ridge Rd
Lackawanna, NY 14218-1435

Phone

(716) 828-9500

NPI assigned

Aug 31, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Van Gammeren Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1043128069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3684 HEATHERWOOD DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140752242",
            "telephone_number": "716-327-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181435",
            "telephone_number": "716-828-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN GAMMEREN",
        "first_name": "KATHRINE",
        "middle_name": "ANN WAGNER",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "031638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "VAN GAMMEREN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael Edward Tomasik
• Sarah A Tortora, LMSW
• Michelle Trala
• Jennifer Lynn Tyrpak, C.O.T.A.
• Jennifer Valint, SLP
• Jennifer Marie Vespa, M.A.
• Anthony T. Vetrano, M.D.
• Kristina Vranjes, M.S. ED. CCC/L-SLP
• Walgreen Eastern Co Inc (Walgreens #03257)
• Madelyn Weaver

• Speech-Language Pathologist in Lackawanna, NY
• Providers in Lackawanna, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.