Kathryn A Vickers, MS. CCC- SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

077678 Issued in IA

Practice address

1203 S Main St
Fairfield, IA 52556-3847

Phone

(641) 919-1628

NPI assigned

Jun 16, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kathryn Ann Stewart Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Speak Moor LLC

  • Speech-Language Pathologist
  • Tucson, AZ
  • NPI 1366537607
  NPD (past)
• Speech Therapy Group of Tucson PLLC

  • Speech-Language Pathologist
  • Tucson, AZ
  • NPI 1891030318
  NPD (past)
• Therapy Group of Tucson, LLC

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1639322134

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1194010215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 S MAIN ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563847",
            "telephone_number": "641-919-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S MAIN ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563847",
            "telephone_number": "641-919-1628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7368 N La Cholla Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857412305",
            "country_code": "US",
            "telephone_number": "520-742-3092",
            "fax_number": "520-544-9497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "MS. CCC- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP7281",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "077678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "STEWART",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryan Vander Linden, PHARMD
• Stephen Craig Vantasell, D.D.S.
• Sarah Vanway, O.D.
• Vegacorp PC
• Brooke Elizabeth Vicker, ARNP
• Praveen Vikas, MD
• Village Assisted Living LLC
• Virginia Applied Kinesiology LLC
• Timothy Gerard Volm, D.O.
• Lila Ananda Wallace, LMFT

• Speech-Language Pathologist in Fairfield, IA
• Providers in Fairfield, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.