Active NPI
Mary Kathleen Krater, M.A., CCC-SLP
- Speech-Language Pathologist
- Claremont, CA
National Provider Identifier
1386898658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP2633
- Practice address
- 630 S Indian Hill Blvd Ste 5
Claremont, CA 91711-5461 - Phone
- (909) 451-8521
- NPI assigned
- Nov 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP2633 | CA | Primary |
Addresses
Primary practice location
630 S Indian Hill Blvd Ste 5
Claremont, CA 91711-5461
Mailing address
630 S Indian Hill Blvd Ste 5
Claremont, CA 91711-5461
Phone (909) 451-8521
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP2633 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1386898658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 S INDIAN HILL BLVD STE 5",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917115461",
"telephone_number": "909-451-8521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 S INDIAN HILL BLVD STE 5",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917115461",
"telephone_number": "909-451-8521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRATER",
"first_name": "MARY",
"middle_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-12",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP2633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.