Active NPI
Kathleen Castillo, M.S, CCC-SLP
- Speech-Language Pathologist
- Louisville, KY
National Provider Identifier
1174870901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 140024
- Practice address
- 600 E Main St Apt 308
Louisville, KY 40202-1083 - Phone
- (859) 803-2869
- Fax
- (502) 426-2045
- NPI assigned
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3056 | KY | |
| Speech-Language Pathologist | 235Z00000X | 140024 | KY | Primary |
Addresses
Primary practice location
600 E Main St Apt 308
Louisville, KY 40202-1083
Mailing address
600 E Main St Apt 308
Louisville, KY 40202-1083
Phone (859) 803-2869
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140024 | Other | KY | KENTUCKY BOARD OF SPEECH-LANGUAGE PATHOLOGY |
| 12089467 | Other | MD | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3056 | KY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1174870901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 E MAIN ST APT 308",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021083",
"telephone_number": "859-803-2869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E MAIN ST APT 308",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021083",
"telephone_number": "859-803-2869",
"fax_number": "502-426-2045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "KATHLEEN",
"credential": "M.S, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-10",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "3056",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "140024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF SPEECH-LANGUAGE PATHOLOGY",
"identifier": "140024",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
"identifier": "12089467",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.