Active NPI
Katherine Alice Mueller
- Speech-Language Pathologist
- Silver Spring, MD
National Provider Identifier
1356879746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 09575
- Practice address
- 2360 Wyeth St
Silver Spring, MD 20906-3604 - Phone
- (518) 423-2003
- NPI assigned
- May 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 09575 | MD | Primary |
| Speech-Language Pathologist | 235Z00000X | SLP009678 | GA |
Addresses
Primary practice location
2360 Wyeth St
Silver Spring, MD 20906-3604
Mailing address
2360 Wyeth St
Silver Spring, MD 20906-3604
Phone (518) 423-2003
Other practice location 1
1845 Piedmont Ave NE Apt 639
Atlanta, GA 30324-5176
Phone (518) 423-2003
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
| License | State | Type | Specialty |
|---|---|---|---|
| 09575 | MD | MD | Occupational Therapist |
| SLP009678 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1356879746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 WYETH ST",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209063604",
"telephone_number": "518-423-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 WYETH ST",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209063604",
"telephone_number": "518-423-2003"
}
],
"practiceLocations": [
{
"address_1": "1845 Piedmont Ave NE Apt 639",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303245176",
"country_code": "US",
"telephone_number": "518-423-2003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUELLER",
"first_name": "KATHERINE",
"middle_name": "ALICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-30",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "09575",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP009678",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.