Active NPI
Kathy R Powell, M.S. CCC SLP
- Speech-Language Pathologist
- Baden, PA
National Provider Identifier
1265637375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL003911L
- Practice address
- 1030 W State St
Baden, PA 15005-1338 - Phone
- (724) 869-6300
- Fax
- (724) 869-6347
- NPI assigned
- Jun 19, 2007
- 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 | SL003911L | PA | Primary |
Addresses
Primary practice location
1030 W State St
Baden, PA 15005-1338
Mailing address
322 Meadow LN
Sewickley, PA 15143-1064
Phone (412) 741-4662
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 |
|---|---|---|---|
| SL003911L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265637375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 MEADOW LN",
"city": "SEWICKLEY",
"state": "PA",
"postal_code": "151431064",
"telephone_number": "412-741-4662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 W STATE ST",
"city": "BADEN",
"state": "PA",
"postal_code": "150051338",
"telephone_number": "724-869-6300",
"fax_number": "724-869-6347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "KATHY",
"middle_name": "R",
"credential": "M.S. CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL003911L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baden, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.