Katharine Klotzbach

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9387 Issued in MN

Practice address

3001 Harbor LN N
Suite 120
Plymouth, MN 55447-5102

Phone

(763) 551-3652

Fax

(763) 551-1334

NPI assigned

Nov 3, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Associated Speech and Language Specialists LLC

  • Speech-Language Pathologist
  • St Paul, MN
  • NPI 1881636223
  NPD (past)

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1306241385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 LEXINGTON AVE N",
            "address_2": "SUITE 305",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268074",
            "telephone_number": "651-639-0942",
            "fax_number": "651-639-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HARBOR LN N",
            "address_2": "SUITE 120",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475102",
            "telephone_number": "763-551-3652",
            "fax_number": "763-551-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOTZBACH",
        "first_name": "KATHARINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Lynn Kivirahk, OTR/L, CHT
• Philip S. Klees, PH.D.
• Angela J Klein, BSN, CNP
• Jody L Kleyman, C.R.N.A.
• Briona Klinsky, APRN, FNP-C
• Sally L Kluetz
• Rebecca Knight, MS, BCBA
• Brian J Kobienia, MD
• Andrea E Koch, WHNP
• Kochenderfer Family Dentistry, PLC

• Speech-Language Pathologist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.