Kathryn Shultz, M.S.-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60848421 Issued in WA

Practice address

10811 SE Kent Kangley Rd
Kent, WA 98030-7108

Phone

(253) 854-5660

Fax

(253) 854-7025

NPI assigned

Jan 23, 2015

Last updated

Sep 8, 2022By 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

Other identifiers 1

Other names 1

• Kathryn Stewart Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  dba Woodcreek Pediatrics by Mary Bridge Children's

  • Pediatrics Physician
  • Puyallup, WA
  • NPI 1700396652
  NPD
• Northwest Children's Therapy

  • Speech-Language Pathologist
  • Seattle, WA
  • NPI 1578208351
  NPD
• Center for Pediatric Therapy

  • Physical Therapy Clinic/Center
  • Spokane, WA
  • NPI 1477718492
  NPD (past)

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1245620624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10811 SE KENT KANGLEY RD",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307108",
            "telephone_number": "253-854-5660",
            "fax_number": "253-854-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10811 SE KENT KANGLEY RD",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307108",
            "telephone_number": "253-854-5660",
            "fax_number": "253-854-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "KATHRYN",
        "credential": "M.S.-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60848421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025815",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "STEWART",
            "credential": "M.S.-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua Shotkoski
• Edith Shreckengast, RDN
• Faizah Edris Shukru, LSWAIC
• Kayla R Shull, ARNP
• Emily H M Shultz, MS, CCC-SLP
• Avani Sidhu
• Sam Allen Sievertsen
• Gregory Sigrist, CAAC/MHP
• Silas D. Dudley, D.D.S., M.S.D., P.L.L.C.
• Goldie Silbermann

• Speech-Language Pathologist in Kent, WA
• Providers in Kent, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.