Individual provider Active NPI

Katherine M Kryzer, MA, CC-SP

  • Speech-Language Pathologist
  • Wichita, KS
National Provider Identifier
1265666572
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2456 Issued in KS
Practice address
9350 E Central Ave
Wichita, KS 67206-2555
Phone
(316) 686-6608
Fax
(316) 686-3624
NPI assigned
May 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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 2456 KS Primary

Addresses

Primary practice location

9350 E Central Ave
Wichita, KS 67206-2555

Mailing address

PO Box 25943
Oklahoma City, OK 73125-0943
Phone (316) 686-6608

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2456KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Ear Clinic, PA PastSince Jul 1, 1996 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1265666572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25943",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731250943",
            "telephone_number": "316-686-6608",
            "fax_number": "316-686-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062555",
            "telephone_number": "316-686-6608",
            "fax_number": "316-686-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYZER",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MA, CC-SP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.