Active NPI
Katherine Dale Kaminsky, M.S. CF-SLP
- Speech-Language Pathologist
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30003059
- Practice address
- 750 SE Cary Pkwy
Cary, NC 27511-5682 - Phone
- (919) 694-8414
- NPI assigned
- Jun 12, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 30003059 | NC | Primary |
Addresses
Primary practice location
750 SE Cary Pkwy
Cary, NC 27511-5682
Mailing address
915 Dudley Park Loop Apt 215
Cary, NC 27513-2983
Phone (404) 409-7456
Other practice location 1
10820 Penny Rd
Cary, NC 27518-1916
Phone (919) 622-3161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250925000223 | NC | Practitioner - Qualified Speech Language Pathologist | 6204331846 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
750 SE Cary Pkwy
Cary, NC 27511-5682
Phone (919) 460-9955
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
750 SE Cary Pkwy
Cary, NC 27511
Phone (919) 460-9955
10820 Penny Rd
Cary, NC 27518
Phone (919) 303-7068
2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
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.
-
- Physical Therapist
- Durham, NC
- NPI 1104823400
NC, Speech-Language Pathologist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1194567768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 DUDLEY PARK LOOP APT 215",
"city": "CARY",
"state": "NC",
"postal_code": "275132983",
"telephone_number": "404-409-7456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 SE CARY PKWY",
"city": "CARY",
"state": "NC",
"postal_code": "275115682",
"telephone_number": "919-694-8414"
}
],
"practiceLocations": [
{
"address_1": "10820 Penny Rd",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275181916",
"country_code": "US",
"telephone_number": "919-622-3161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMINSKY",
"first_name": "KATHERINE",
"middle_name": "DALE",
"credential": "M.S. CF-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-12",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30003059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.