Individual provider Active NPI

Kathryn Lee Pinkerton, CF-SLP

  • Speech-Language Pathologist
  • Greenwood, IN
National Provider Identifier
1205300522
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
46003500A Issued in IN
Practice address
1701 Library Blvd Ste a
Greenwood, IN 46142-1567
Phone
(317) 881-9966
Fax
(317) 881-9966
NPI assigned
Jan 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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 46003500A IN Primary

Addresses

Primary practice location

1701 Library Blvd Ste a
Greenwood, IN 46142-1567

Mailing address

1701 Library Blvd Ste a
Greenwood, IN 46142-1567
Phone (317) 881-9966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260515001357 IN Practitioner - Qualified Speech Language Pathologist 6406325778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3000 S State Rd
135 Suite 110
Greenwood, IN 46143-9829

6626 E 75TH St
Suite 110
Indianapolis, IN 46250-2892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46003500AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborating for Kids, LLC PastSince Feb 19, 2016 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": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1205300522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 LIBRARY BLVD STE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421567",
            "telephone_number": "317-881-9966",
            "fax_number": "317-881-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 LIBRARY BLVD STE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421567",
            "telephone_number": "317-881-9966",
            "fax_number": "317-881-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKERTON",
        "first_name": "KATHRYN",
        "middle_name": "LEE",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46003500A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.

Verify at the official NPI Registry.