Active NPI
Katherine Marie Summers, MS CCC-SLP
- Speech-Language Pathologist
- Webster, NY
National Provider Identifier
1235220583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 014478-1
- Practice address
- 119 South Ave
Webster, NY 14580-3559 - Phone
- (585) 872-1320
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 014478-1 | NY | Primary |
Addresses
Primary practice location
119 South Ave
Webster, NY 14580-3559
Mailing address
794 Somerset Dr
Webster, NY 14580-2671
Phone (585) 703-1772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO11014478 | Other | NY | EXCELLUS ROCHESTER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 014478-1 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webster Central School District | Past | Accepting new patients |
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.
-
- Local Education Agency (LEA)
- Webster, NY
- NPI 1598800138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1235220583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "794 SOMERSET DR",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145802671",
"telephone_number": "585-703-1772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 SOUTH AVE",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145803559",
"telephone_number": "585-872-1320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "KATHERINE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "014478-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS ROCHESTER",
"identifier": "PO11014478",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.