Individual provider Active NPI

Katie Josephine Werle, M.S. CCC SLP

  • Speech-Language Pathologist
  • Cotati, CA
National Provider Identifier
1063703585
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18913 Issued in CA
Practice address
315 E Cotati Ave Ste F
Cotati, CA 94931-7801
Phone
(707) 326-3548
NPI assigned
May 2, 2011
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 18913 CA Primary

Addresses

Primary practice location

315 E Cotati Ave Ste F
Cotati, CA 94931-7801

Mailing address

315 E Cotati Ave Ste F
Cotati, CA 94931-7801
Phone (707) 326-3548

Other practice location 1

1370 Medical Center Dr Ste D
Rohnert Park, CA 94928-2934
Phone (707) 326-3548

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 Science

State licenses

LicenseStateTypeSpecialty
18913CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Speech and Language Pathology CurrentSince Jan 1, 2020 Accepting new patients

Locations

315 E Cotati Ave
Ste F
Cotati, CA 94931
Phone (635) 487-0732

1370 Medical Center Dr
Ste D
Rohnert Park, CA 94928
Phone (707) 326-3548

5212 Country Club Dr
Rohnert Park, CA 94928
Phone (707) 326-3548

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1063703585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E COTATI AVE STE F",
            "city": "COTATI",
            "state": "CA",
            "postal_code": "949317801",
            "telephone_number": "707-326-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E COTATI AVE STE F",
            "city": "COTATI",
            "state": "CA",
            "postal_code": "949317801",
            "telephone_number": "707-326-3548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1370 Medical Center Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Rohnert Park",
            "state": "CA",
            "postal_code": "949282934",
            "country_code": "US",
            "telephone_number": "707-326-3548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERLE",
        "first_name": "KATIE",
        "middle_name": "JOSEPHINE",
        "credential": "M.S. CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cotati, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.