Individual provider Active NPI

Kathleen Klatt, SLP

  • Speech-Language Pathologist
  • Scranton, PA
National Provider Identifier
1164208104
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL017080 Issued in PA
Practice address
2010 Adams Ave
Scranton, PA 18509-1599
Phone
(570) 963-1278
Fax
(570) 963-1292
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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 SL017080 PA Primary

Addresses

Primary practice location

2010 Adams Ave
Scranton, PA 18509-1599

Mailing address

2010 Adams Ave
Scranton, PA 18509-1599
Phone (570) 963-1278

Other practice location 1

1401 Monroe Ave
Scranton, PA 18509-2431
Phone (570) 963-1276

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

State licenses

LicenseStateTypeSpecialty
SL017080PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Center Speech-Language Pathologist CurrentSince Sep 6, 2023 Accepting new patients
St. Joseph's Center PastSince Sep 6, 2023 Accepting new patients

Locations

2010 Adams Ave
Scranton, PA 18509
Phone (570) 342-8379

1401 Monroe Ave
Scranton, PA 18509
Phone (570) 963-1278

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1164208104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 ADAMS AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091599",
            "telephone_number": "570-963-1278",
            "fax_number": "570-963-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 ADAMS AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091599",
            "telephone_number": "570-963-1278",
            "fax_number": "570-963-1292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Monroe Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185092431",
            "country_code": "US",
            "telephone_number": "570-963-1276",
            "fax_number": "570-558-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLATT",
        "first_name": "KATHLEEN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL017080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.