Individual provider Active NPI

Katherine Marie Austin, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1124534284
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13433 Issued in NC
Practice address
2319 Randolph Rd
Charlotte, NC 28207-1525
Phone
(704) 562-0088
NPI assigned
Dec 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL014398 PA
Speech-Language Pathologist 235Z00000X 13433 NC Primary

Addresses

Primary practice location

2319 Randolph Rd
Charlotte, NC 28207-1525

Mailing address

9020 Griers Pasture Dr
Charlotte, NC 28278-0050
Phone (410) 202-9591

Other practice location 1

1539 Country Club Rd
Fairmont, WV 26554-1306
Phone (304) 366-9100

Other practice location 2

3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256
Phone (910) 679-8385

Other practice location 3

165 Amaryllis Dr Apt 307
Wilmington, NC 28411-9739
Phone (410) 202-9591

Other names 1

  • Katherine Marie Close Former 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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13433NCMDPharmacist
SL014398PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Three CS Speech Therapy Services PLLC Speech-Language Pathologist CurrentSince Dec 12, 2021 Accepting new patients
Coastline Therapy Group, LLC Speech-Language Pathologist CurrentSince Dec 17, 2018 Accepting new patients
Coastal Speech and Reading Center Speech-Language Pathologist PastSince Dec 17, 2018 Accepting new patients

Locations

2319 Randolph Rd
Charlotte, NC 28207
Phone (704) 562-0088

3901 Wrightsville Ave
Ste 120
Wilmington, NC 28403

4130 Oleander Dr
Ste 101
Wilmington, NC 28403

Organizations & group practices 3

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": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1124534284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 GRIERS PASTURE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282780050",
            "telephone_number": "410-202-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 RANDOLPH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071525",
            "telephone_number": "704-562-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1539 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265541306",
            "country_code": "US",
            "telephone_number": "304-366-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Wrightsville Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284036256",
            "country_code": "US",
            "telephone_number": "910-679-8385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Amaryllis Dr Apt 307",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284119739",
            "country_code": "US",
            "telephone_number": "410-202-9591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014398",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "CLOSE",
            "middle_name": "MARIE",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.