Individual provider Active NPI

Katherine Lingle Wilder

  • Speech-Language Pathologist
  • Parker, CO
National Provider Identifier
1316627680
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
12760 Stroh Ranch Way Ste 205
Parker, CO 80134-7507
Phone
(720) 542-8737
NPI assigned
Jul 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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 Primary

Addresses

Primary practice location

12760 Stroh Ranch Way Ste 205
Parker, CO 80134-7507

Mailing address

6851 S Holly Cir Ste 295
Centennial, CO 80112-1076
Phone (720) 542-8737

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Speech Therapy Associates Speech-Language Pathologist CurrentSince Jul 23, 2023 Accepting new patients
Pediatric Speech Therapy Associates Speech-Language Pathologist PastSince Jul 23, 2023 Accepting new patients

Locations

6851 S Holly Cir
Ste 295
Centennial, CO 80112
Phone (205) 428-7377

12760 Stroh Ranch Way
Ste 205
Parker, CO 80134
Phone (207) 542-8737

Organizations & group practices 2

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": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1316627680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 S HOLLY CIR STE 295",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121076",
            "telephone_number": "720-542-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 STROH RANCH WAY STE 205",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347507",
            "telephone_number": "720-542-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "KATHERINE",
        "middle_name": "LINGLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.