Katelyn Dawn Henry

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL016287 Issued in PA

Practice address

1015 Tiverton Rd
Mechanicsburg, PA 17050-7699

Phone

(717) 379-4543

NPI assigned

Jul 17, 2023

Last updated

Jul 17, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1073292942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 E PINE ST",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178701999",
            "telephone_number": "570-765-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 TIVERTON RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170507699",
            "telephone_number": "717-379-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KATELYN",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL016287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin K Hellyer, PA-C
• Brian Hely
• Nathan J Hemerly, DO
• Andrew A Hench, CRNP
• Craig Alan Henry, OD
• Laynie Henry
• Hent LLC (Heritage Ear, Nose & Throat & Facial Plastic Surgery)
• Kimberly Herbst, RPH
• Heritage Medical Group, LLP (Cumberland Ear, Nose & Throat/Facial Plastic Surgery)
• Heritage Medical Group, LLP (Shepherdstown Family Practice)

• Speech-Language Pathologist in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.