Individual provider Active NPI

Katherine Fanti, M.S, CF-SLP

  • Speech-Language Pathologist
  • Hickory, NC
National Provider Identifier
1225607369
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2203214 Issued in NC
Practice address
1040 Southgate Corporate Park SW
Hickory, NC 28602-1518
Phone
(828) 358-3115
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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 2203214 NC Primary

Addresses

Primary practice location

1040 Southgate Corporate Park SW
Hickory, NC 28602-1518

Mailing address

383 20TH Ave NE
Hickory, NC 28601-1939
Phone (910) 297-9651

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2203214NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Network Speech-Language Pathologist CurrentSince Jun 27, 2021 Accepting new patients

Locations

1040 Southgate Corporate Park SW
Hickory, NC 28602
Phone (828) 358-3115

Organizations & group practices 1

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1225607369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 20TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286011939",
            "telephone_number": "910-297-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 SOUTHGATE CORPORATE PARK SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021518",
            "telephone_number": "828-358-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTI",
        "first_name": "KATHERINE",
        "credential": "M.S, CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2203214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.