Active NPI
Katheryn M Kennedy
- Speech-Language Pathologist
- Spanish Fort, AL
National Provider Identifier
1285026534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3719
- Practice address
- 11510 Arlington Blvd
Spanish Fort, AL 36527-5832 - Phone
- (251) 209-1802
- Fax
- (251) 217-9101
- NPI assigned
- Feb 24, 2015
- 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 | 3719 | AL | Primary |
Addresses
Primary practice location
11510 Arlington Blvd
Spanish Fort, AL 36527-5832
Mailing address
11510 Arlington Blvd
Spanish Fort, AL 36527-5832
Phone (251) 209-1802
Other practice location 1
8909 Rand Ave
Daphne, AL 36526-9126
Phone (251) 210-1632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01091397 | Other | AL | ASHA CERTIFICATION |
Other names 1
- Katheryn M Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Huntsville, AL 35802
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3719 | AL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab SLP Al LLC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Huntsville, AL
- NPI 1538885561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1285026534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11510 ARLINGTON BLVD",
"city": "SPANISH FORT",
"state": "AL",
"postal_code": "365275832",
"telephone_number": "251-209-1802",
"fax_number": "251-217-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11510 ARLINGTON BLVD",
"city": "SPANISH FORT",
"state": "AL",
"postal_code": "365275832",
"telephone_number": "251-209-1802",
"fax_number": "251-217-9101"
}
],
"practiceLocations": [
{
"address_1": "8909 Rand Ave",
"address_purpose": "LOCATION",
"city": "Daphne",
"state": "AL",
"postal_code": "365269126",
"country_code": "US",
"telephone_number": "251-210-1632",
"fax_number": "251-625-3152",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEDY",
"first_name": "KATHERYN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-24",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "3719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA CERTIFICATION",
"identifier": "01091397",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERYN",
"last_name": "SMITH",
"middle_name": "M",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Spanish Fort, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.