Active NPI
Kathryn Elizabeth Arnold, SLP
- Speech-Language Pathologist
- Yuma, AZ
National Provider Identifier
1477633998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7608
- Practice address
- 5884 E 39TH PL
Yuma, AZ 85365-2626 - Phone
- (615) 975-3104
- NPI assigned
- Oct 17, 2006
- Last updated
- Dec 7, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202005023 | VA | |
| Speech-Language Pathologist | 235Z00000X | 7608 | NC | Primary |
| Speech-Language Pathologist | 235Z00000X | SLP7055 | AZ |
Addresses
Primary practice location
5884 E 39TH PL
Yuma, AZ 85365-2626
Mailing address
5884 E 39TH PL
Yuma, AZ 85365-2626
Phone (615) 975-3104
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010294037 | Medicaid | VA | |
| 7412714 | Medicaid | NC |
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 |
|---|---|---|---|
| SLP7055 | AZ | MD | Speech-Language Pathologist |
| 7608 | NC | MD | Speech-Language Pathologist |
| 2202005023 | VA | MD | Speech-Language Pathologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Yuma, AZ
- NPI 1366096166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354838400000",
"number": "1477633998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5884 E 39TH PL",
"city": "YUMA",
"state": "AZ",
"postal_code": "853652626",
"telephone_number": "615-975-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5884 E 39TH PL",
"city": "YUMA",
"state": "AZ",
"postal_code": "853652626",
"telephone_number": "615-975-3104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "KATHRYN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2012-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202005023",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7608",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP7055",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010294037",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7412714",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.