Katherine Kettler

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2204000837 Issued in VA

Practice address

5009 Whisper Willow Dr
Fairfax, VA 22030-8205

Phone

(703) 543-4693

NPI assigned

Oct 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pronto Therapy Group LLC

  • Early Intervention Provider Agency
  • Fairfax, VA
  • NPI 1811215981

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1487326682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 BELLFOREST CT APT 108",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221807311",
            "telephone_number": "571-439-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 WHISPER WILLOW DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308205",
            "telephone_number": "703-543-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTLER",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kes Integrated Services Inc
• Marina Kessenich, CD, HCHD
• Chester William Kessler, M.D.
• Raymond Howard Kessler, MD
• Sara Ketkar, SLP
• Jonathan Keung, M.D.
• Eseoghene Priscilla Kevu, ND
• Ayatallah M. Khafagy, MB BCH MSC MPH
• Mohammad Khaki Nahad
• Ghada Khalaf, LCSW

• Speech-Language Pathologist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.