Kathryn Pfau, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1644 Issued in ND

Practice address

309 2ND St E
Bottineau, ND 58318-1104

Phone

(701) 228-3743

NPI assigned

Sep 10, 2018

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Peace Garden Multi-District Cooperative

  • Local Education Agency (LEA)
  • Bottineau, ND
  • NPI 1467501627

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1083197693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 2ND ST E",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583181104",
            "telephone_number": "701-228-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 2ND ST E",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583181104",
            "telephone_number": "701-228-3743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Raymond St",
            "address_purpose": "LOCATION",
            "city": "Glenburn",
            "state": "ND",
            "postal_code": "587407236",
            "country_code": "US",
            "telephone_number": "701-320-2670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFAU",
        "first_name": "KATHRYN",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Modern Esthetics & Dermatology, PLLC
• Vilma Moncera
• Molly Ann Motschenbacher
• Aimee Nehring
• Peace Garden Multi-District Cooperative
• Pharmacists Associates LLC
• Keith Alan Pritchard, P.T.
• Pyramid Health, LLC
• Ann Rowley
• Rural Mental Health Consortium

• All providers in Bottineau, ND
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.