Individual provider Active NPI

Katherine Humenik

  • Speech-Language Pathologist
  • Bradenton, FL
National Provider Identifier
1467067645
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3823 E State Road 64
Bradenton, FL 34208-9041
Phone
(941) 745-5111
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X SA19203 FL
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

3823 E State Road 64
Bradenton, FL 34208-9041

Mailing address

3823 E State Road 64
Bradenton, FL 34208-9041
Phone (941) 745-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210914003295 FL Practitioner - Qualified Speech Language Pathologist 9830595941 Reassigns benefits to 1 organization
I20240301000094 NC Practitioner - Qualified Speech Language Pathologist 9830595941 Reassigns benefits to 1 organization
I20240502000514 MD Practitioner - Qualified Speech Language Pathologist 9830595941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians
Expressable Therapy PCGroup PAC ID 0042698136, 67 clinicians

Practice addresses (Care Compare)

111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
Phone (512) 399-0064

1997 Annapolis Exchange Pkwy
Suite 300
Annapolis, MD 21401-3273
Phone (561) 462-3933

2530 Meridian Pkwy
Suite 300
Durham, NC 27713-5273
Phone (512) 399-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA19203FLMDEarly Intervention Provider Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Feb 1, 2024 Accepting new patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Apr 11, 2024 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

1997 Annapolis Exchange Pkwy
Ste 300
Annapolis, MD 21401
Phone (410) 261-6439

2530 Meridian Pkwy
Ste 300
Durham, NC 27713
Phone (919) 443-1708

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1467067645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089041",
            "telephone_number": "941-745-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089041",
            "telephone_number": "941-745-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMENIK",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "SA19203",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.