Individual provider Active NPI

Kathryn Dostie, SLP-A

  • Speech-Language Assistant
  • Cumberland Center, ME
National Provider Identifier
1306173604
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SAS1817 Issued in ME
Practice address
74 Rock Ridge Run
Kimberly a. Egberts & Assoc.
Cumberland Center, ME 04021
Phone
(207) 829-4763
Fax
(207) 829-4763
NPI assigned
Nov 6, 2009
Last updated
Nov 6, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 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 Assistant 2355S0801X SAS1817 ME Primary

Addresses

Primary practice location

74 Rock Ridge Run
Kimberly a. Egberts & Assoc.
Cumberland Center, ME 04021

Mailing address

8 Congress St
Lisbon, ME 04250-6410
Phone (207) 353-2278

Other identifiers 1

IdentifierTypeStateIssuer
432877900MedicaidME

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

State licenses

LicenseStateTypeSpecialty
SAS1817MEMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1306173604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CONGRESS ST",
            "city": "LISBON",
            "state": "ME",
            "postal_code": "042506410",
            "telephone_number": "207-353-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ROCK RIDGE RUN",
            "address_2": "KIMBERLY A. EGBERTS & ASSOC.",
            "city": "CUMBERLAND CENTER",
            "state": "ME",
            "postal_code": "04021",
            "telephone_number": "207-829-4763",
            "fax_number": "207-829-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSTIE",
        "first_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "SLP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "ME",
            "license": "SAS1817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432877900",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland Center, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.