Individual provider Active NPI

Katheryn M Kennedy

  • Speech-Language Pathologist
  • Spanish Fort, AL
National Provider Identifier
1285026534
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3719 Issued in AL
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

Updated by the provider on Dec 15, 2025

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 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

IdentifierTypeStateIssuer
01091397OtherALASHA CERTIFICATION

Other names 1

  • Katheryn M Smith Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150508000765 AL Practitioner - Qualified Speech Language Pathologist 3678892973 Reassigns benefits to 1 organization

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
Fox Rehab SLP Al LLCGroup PAC ID 1951772763, 13 clinicians

Practice addresses (Care Compare)

Huntsville, AL 35802
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3719ALMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab SLP Al LLC Speech-Language Pathologist CurrentSince Dec 15, 2025 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": "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.

Verify at the official NPI Registry.