Individual provider Active NPI

Katherine Wathen, MA CF-SLP

  • Speech-Language Pathologist
  • Lafayette, CO
National Provider Identifier
1366126229
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PSLP.0001115 Issued in CO
Practice address
1300 Plaza CT N Ste 101
Lafayette, CO 80026-1467
Phone
(720) 515-4487
NPI assigned
Jun 12, 2023
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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 PSLP.0001115 CO Primary

Addresses

Primary practice location

1300 Plaza CT N Ste 101
Lafayette, CO 80026-1467

Mailing address

13584 Via Varra
Broomfield, CO 80020-9783

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PSLP.0001115COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gather and Grow Therapy Services, LLC Speech-Language Pathologist CurrentSince Jan 7, 2024 Accepting new patients
Gather and Grow Therapy Services, LLC PastSince Jun 18, 2023 Accepting new patients

Locations

1300 Plaza Ct N
Ste 101
Lafayette, CO 80026
Phone (720) 515-4487

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1366126229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13584 VIA VARRA",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800209783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PLAZA CT N STE 101",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261467",
            "telephone_number": "720-515-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATHEN",
        "first_name": "KATHERINE",
        "credential": "MA CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "PSLP.0001115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

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

Verify at the official NPI Registry.