Individual provider Active NPI

Kathryn Zainea, CCC-SLP, ATP

  • Speech-Language Pathologist
  • Somerville, MA
National Provider Identifier
1205077740
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3385 Issued in MA
Practice address
55 Concord Ave
Somerville, MA 02143-3927
Phone
(617) 686-2259
NPI assigned
Mar 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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 3385 MA Primary

Addresses

Primary practice location

55 Concord Ave
Somerville, MA 02143-3927

Mailing address

PO Box 400344
Cambridge, MA 02140-0004
Phone (617) 686-2259

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

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1205077740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400344",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021400004",
            "telephone_number": "617-686-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CONCORD AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433927",
            "telephone_number": "617-686-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAINEA",
        "first_name": "KATHRYN",
        "credential": "CCC-SLP, ATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "3385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.