Individual provider Active NPI

Kathryn Kiyomi Nakata-Hamada

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1164746616
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
105638 Issued in TX
Practice address
11001 Hammerly Blvd
Houston, TX 77043-1913
Phone
(713) 467-4696
NPI assigned
Mar 25, 2010
Last updated
Mar 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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 105638 TX Primary
Speech-Language Pathologist 235Z00000X 8867 CA

Addresses

Primary practice location

11001 Hammerly Blvd
Houston, TX 77043-1913

Mailing address

11627 Gallant Ridge LN
Houston, TX 77082-6834
Phone (281) 496-4355

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
105638TXMDSpeech-Language Pathologist
8867CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Parish Children's School Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1164746616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11627 GALLANT RIDGE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770826834",
            "telephone_number": "281-496-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 HAMMERLY BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770431913",
            "telephone_number": "713-467-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKATA-HAMADA",
        "first_name": "KATHRYN",
        "middle_name": "KIYOMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105638",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "8867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.