Individual provider Active NPI

Laura Katherine Kautzman

  • Speech-Language Pathologist
  • Anchorage, AK
National Provider Identifier
1073842464
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
423669 Issued in AK
Practice address
4043 Brentwood Cir
Anchorage, AK 99502-4220
Phone
(907) 248-3759
Fax
(907) 245-5535
NPI assigned
Dec 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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 423669 AK Primary

Addresses

Primary practice location

4043 Brentwood Cir
Anchorage, AK 99502-4220

Mailing address

4043 Brentwood Cir
Anchorage, AK 99502-4220
Phone (907) 248-3759

Other names 1

  • Ms. Laura Katherine Kautzman Professional name

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

State licenses

LicenseStateTypeSpecialty
423669AKMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1073842464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4043 BRENTWOOD CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024220",
            "telephone_number": "907-248-3759",
            "fax_number": "907-245-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4043 BRENTWOOD CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024220",
            "telephone_number": "907-248-3759",
            "fax_number": "907-245-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUTZMAN",
        "first_name": "LAURA",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "423669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KAUTZMAN",
            "middle_name": "KATHERINE",
            "prefix": "MS.",
            "credential": "MAT,CCC, SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.