NPIMap

Individual provider Active NPI

Kathleen Yu

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1093971244
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
C-4357 Issued in NM
Practice address
4308 Carlisle Blvd NE Ste 209
Albuquerque, NM 87107-4849
Phone
(505) 828-0232
Fax
(505) 823-1051
NPI assigned
Aug 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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 C-4357 NM Primary

Addresses

Primary practice location

4308 Carlisle Blvd NE Ste 209
Albuquerque, NM 87107-4849

Mailing address

4308 Carlisle Blvd NE Ste 209
Albuquerque, NM 87107-4849
Phone (505) 828-0232

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
C-4357NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Home Care, Inc. Past Accepting new patients
Communication Mobility Independence Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1093971244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 CARLISLE BLVD NE STE 209",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074849",
            "telephone_number": "505-828-0232",
            "fax_number": "505-823-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 CARLISLE BLVD NE STE 209",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074849",
            "telephone_number": "505-828-0232",
            "fax_number": "505-823-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C-4357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.