Individual provider Active NPI

Hildegunde Kaurisch-George

  • Speech-Language Pathologist
  • Waltham, MA
National Provider Identifier
1316668635
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5694 Issued in MA
Practice address
465 Waverly Oaks Rd Ste 101
Waltham, MA 02452-8497
Phone
(781) 894-6564
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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 5694 MA Primary

Addresses

Primary practice location

465 Waverly Oaks Rd Ste 101
Waltham, MA 02452-8497

Mailing address

142 Rhinecliff St
Arlington, MA 02476-7333
Phone (617) 827-1362

Other names 1

  • Hildegunde Kaurisch Other name

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
5694MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1316668635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 RHINECLIFF ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024767333",
            "telephone_number": "617-827-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WAVERLY OAKS RD STE 101",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024528497",
            "telephone_number": "781-894-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAURISCH-GEORGE",
        "first_name": "HILDEGUNDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "5694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILDEGUNDE",
            "last_name": "KAURISCH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.