Individual provider Active NPI

Kathryn Eileen Dorney, MA.CCC-SLP

  • Speech-Language Pathologist
  • Carrboro, NC
National Provider Identifier
1467599068
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10434 Issued in NC
Practice address
605 Jones Ferry Rd Apt TT8
Carrboro, NC 27510
Phone
(917) 482-0261
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10434 NC Primary
Specialist 174400000X 01268-1 NY

Addresses

Primary practice location

605 Jones Ferry Rd Apt TT8
Carrboro, NC 27510

Mailing address

605 Jones Ferry Rd Apt TT8
Carrboro, NC 27510-2148
Phone (917) 482-0261

Other practice location 1

605 Jones Ferry Rd Apt Tt8
Carrboro, NC 27510
Phone (917) 482-0261

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221114003170 NC Practitioner - Qualified Speech Language Pathologist 8224406731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Western Carolina University Controllers OfficeGroup PAC ID 6608193487, 2 clinicians

Practice addresses (Care Compare)

3971 Little Savannah Rd
RM 132
Cullowhee, NC 28723-5804
Phone (828) 227-7251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10434NCMDMental Health Counselor
01268-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Carolina University Controllers Office Speech-Language Pathologist CurrentSince Aug 3, 2022 Accepting new patients

Organizations & group practices 1

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1467599068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 JONES FERRY RD APT TT8",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102148",
            "telephone_number": "917-482-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 JONES FERRY RD APT TT8",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "27510",
            "telephone_number": "917-482-0261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Jones Ferry Rd Apt Tt8",
            "address_purpose": "LOCATION",
            "city": "Carrboro",
            "state": "NC",
            "postal_code": "27510",
            "country_code": "US",
            "telephone_number": "917-482-0261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORNEY",
        "first_name": "KATHRYN",
        "middle_name": "EILEEN",
        "name_prefix": "Miss",
        "credential": "MA.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10434",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "01268-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.