Katie Willard, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8006277 Issued in VT

Practice address

1011 N Main St
White River Junction, VT 05001-6200

Phone

(802) 295-8773

Fax

(802) 295-8926

NPI assigned

Feb 4, 2011

Last updated

Feb 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stern Center for Language & Learning

  • Community/Behavioral Health Agency
  • Williston, VT
  • NPI 1639232515
  NPD (past)

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1235435447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 ALLEN BROOK LN",
            "address_2": "STERN CENTER FOR LANGUAGE AND LEARN",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054959209",
            "telephone_number": "802-878-2332",
            "fax_number": "802-878-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N MAIN ST",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050016200",
            "telephone_number": "802-295-8773",
            "fax_number": "802-295-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "KATIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "8006277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White River Junction Veterans Hospital
• Amanda White
• Briana Lee White, DNP, RN
• Robert White, RPH
• Caroline Elizabeth Whittington, DPM
• David Eldon Wilson III, RN
• Timothy Wiseth, OD
• Tarah Jessica Woolgar
• Richard William Wren, PH.D.
• Heather Wright, D.O.

• Speech-Language Pathologist in White River Junction, VT
• Providers in White River Junction, VT by specialty
• Speech-Language Pathologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.