Individual provider Active NPI

Jamie Kay Kline, SPEECH PATHOLOGIST

  • Speech-Language Pathologist
  • La Plata, MD
National Provider Identifier
1184823924
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
5980 Radio Station Rd
La Plata, MD 20646-3337
Phone
(301) 932-6610
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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 MD Primary
Speech-Language Pathologist 235Z00000X 01154 MD

Addresses

Primary practice location

5980 Radio Station Rd
La Plata, MD 20646-3337

Mailing address

101 Centennial St Ste C
La Plata, MD 20646-5976
Phone (301) 392-3700

Other practice location 1

101 Centennial St Ste C
LA Plata, MD 20646-5976
Phone (301) 392-3700

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
01154MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
La Plata Physical Therapy Past Accepting new patients
La Plata Physical Therapy Speech-Language Pathologist PastSince Sep 1, 1999 Accepting new patients

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1184823924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CENTENNIAL ST STE C",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465976",
            "telephone_number": "301-392-3700",
            "fax_number": "301-392-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 RADIO STATION RD",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206463337",
            "telephone_number": "301-932-6610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Centennial St Ste C",
            "address_purpose": "LOCATION",
            "city": "LA Plata",
            "state": "MD",
            "postal_code": "206465976",
            "country_code": "US",
            "telephone_number": "301-392-3700",
            "fax_number": "301-392-3876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINE",
        "first_name": "JAMIE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "SPEECH PATHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "01154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.