Individual provider Active NPI

Katharine Anne Mitchell, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Newhall, CA
National Provider Identifier
1275962466
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
21109 Issued in CA
Practice address
25101 The Old Rd
Newhall, CA 91381-2206
Phone
(661) 249-9940
Fax
(661) 418-5676
NPI assigned
Nov 7, 2013
Last updated
May 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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 21109 CA Primary

Addresses

Primary practice location

25101 The Old Rd
Newhall, CA 91381-2206

Mailing address

23121 Coltrane Ave
Newhall, CA 91321-3959
Phone (818) 624-4001

Other practice location 1

23121 Coltrane Ave
Newhall, CA 91321-3959
Phone (818) 624-4001

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

Practice roles

OrganizationSpecialtyStatusNew patients
KM Speech and Language Pathology, Inc. Speech-Language Pathologist Past 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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1275962466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23121 COLTRANE AVE",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913213959",
            "telephone_number": "818-624-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25101 THE OLD RD",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913812206",
            "telephone_number": "661-249-9940",
            "fax_number": "661-418-5676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23121 Coltrane Ave",
            "address_purpose": "LOCATION",
            "city": "Newhall",
            "state": "CA",
            "postal_code": "913213959",
            "country_code": "US",
            "telephone_number": "818-624-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KATHARINE",
        "middle_name": "ANNE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "21109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.