Individual provider Active NPI

Katie M Cassetty, MS CCC SLP

  • Speech-Language Pathologist
  • Amarillo, TX
National Provider Identifier
1174871248
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
108171 Issued in TX
Practice address
2400 Lakeview Dr
Ste 102
Amarillo, TX 79109-1532
Phone
(806) 468-9400
Fax
(806) 468-9401
NPI assigned
Aug 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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 108171 TX Primary

Addresses

Primary practice location

2400 Lakeview Dr
Ste 102
Amarillo, TX 79109-1532

Mailing address

3912 Arden Rd
Amarillo, TX 79118-9132
Phone (806) 341-8566

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
108171TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation, LLC Speech-Language Pathologist CurrentSince Jun 25, 2024 Accepting new patients
Therapy Workshops LLC Speech-Language Pathologist Current Accepting new patients
Empowerme Rehabilitation, LLC Speech-Language Pathologist CurrentSince Jun 25, 2024 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

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": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1174871248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 ARDEN RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791189132",
            "telephone_number": "806-341-8566",
            "fax_number": "806-341-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LAKEVIEW DR",
            "address_2": "STE 102",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091532",
            "telephone_number": "806-468-9400",
            "fax_number": "806-468-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSETTY",
        "first_name": "KATIE",
        "middle_name": "M",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.