Kathryn Ann Kolbe, MA,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Fairview, NC
NPI 1124236344 · NPPES record last updated Feb 4, 2022
Key facts
- NPI
- 1124236344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 12199 (NC)
- Practice address
- 985 Garren Creek Rd
Fairview, NC 28730-8650 - Phone
- (727) 599-8394
- NPI assigned
- May 20, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
170 S Main St
Mars Hill, NC 28754-6622
Phone (828) 318-8555
2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230221000642 | NC | Practitioner - Qualified Speech Language Pathologist | 9234501271 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA2276 | FL | MD | Speech-Language Pathologist |
| 12199 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current |
Accepting new patients |
| Legacy Healthcare Services, Inc. | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA2276 | FL | |
| Speech-Language Pathologist | 235Z00000X | 12199 | NC | Yes |
Addresses
Primary practice location
985 Garren Creek Rd
Fairview, NC 28730-8650
Mailing address
985 Garren Creek Rd
Fairview, NC 28730-8650
Phone (727) 599-8394
Other providers in Fairview, NC
- Helping You Heal
- Krista Lea Hilliard
- Inspiration Bridgeway LLC
- Ashley Jenkins
- Colvin Eugene Killian
- Katherine Kostmayer
- L & J Boyd Enterprises, LLC
- Sophia Larsen
- Lucie Lasnier
- Amber Livengood
All providers in Fairview, NC · Speech-Language Pathologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.