Individual provider Active NPI

Katherine Marie Guinn, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Boulder, CO
National Provider Identifier
1275196958
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14428677 Issued in CO
Practice address
5070 Ingersoll PL
Boulder, CO 80303-1220
Phone
(401) 996-8883
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Speech-Language Pathologist 235Z00000X PSLP.0001148 CO
Speech-Language Pathologist 235Z00000X 14428677 CO Primary

Addresses

Primary practice location

5070 Ingersoll PL
Boulder, CO 80303-1220

Mailing address

1545 Patton Cir Apt C
Boulder, CO 80303-1228
Phone (760) 783-6550

Other practice location 1

3978 Sorrento Valley Blvd Ste 100
San Diego, CA 92121-1436
Phone (858) 428-0222

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 Arts

State licenses

LicenseStateTypeSpecialty
14428677COMDSpeech-Language Pathologist
PSLP.0001148COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Xcite Steps, LLC PastSince Aug 28, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1275196958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 PATTON CIR APT C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031228",
            "telephone_number": "760-783-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 INGERSOLL PL",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031220",
            "telephone_number": "401-996-8883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3978 Sorrento Valley Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921211436",
            "country_code": "US",
            "telephone_number": "858-428-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUINN",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "PSLP.0001148",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "14428677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.