Individual provider Active NPI

Cathryn Guzman, SPEECH THERAPIST

  • Speech-Language Pathologist
  • Gillette, WY
National Provider Identifier
1316697188
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1097 Issued in WY
Practice address
902 E 3Rd St
Gillette, WY 82716-4023
Phone
(307) 756-9200
Fax
(888) 715-6736
NPI assigned
Mar 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 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 SP-1097 WY Primary

Addresses

Primary practice location

902 E 3Rd St
Gillette, WY 82716-4023

Mailing address

902 E 3Rd St
Gillette, WY 82716-4023
Phone (307) 756-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220502000945 WY Practitioner - Qualified Speech Language Pathologist 4880081348 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP-1097WYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Outpatient Therapy LLC Speech-Language Pathologist CurrentSince Apr 1, 2022 Accepting new patients
Power Basin Therapy LLC Speech-Language Pathologist CurrentSince Oct 11, 2025 Accepting new patients
Davis Home Health LLC PastSince Mar 27, 2022 Accepting new patients

Locations

902 E 3rd St
Gillette, WY 82716
Phone (307) 756-9200

Organizations & group practices 3

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": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1316697188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E 3RD ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164023",
            "telephone_number": "307-756-9200",
            "fax_number": "888-715-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E 3RD ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164023",
            "telephone_number": "307-756-9200",
            "fax_number": "888-715-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "CATHRYN",
        "credential": "SPEECH THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-1097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.