Individual provider Active NPI

Caitlin Ketcher, M.S., SLP-CFY

  • Speech-Language Pathologist
  • Maumelle, AR
National Provider Identifier
1508464454
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
201235 Issued in AR
Practice address
2 Country Club Cir
Maumelle, AR 72113-6578
Phone
(501) 800-1080
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 201235 AR Primary

Addresses

Primary practice location

2 Country Club Cir
Maumelle, AR 72113-6578

Mailing address

2 Country Club Cir
Maumelle, AR 72113-6578

Other identifiers 1

IdentifierTypeStateIssuer
201235OtherARABESPA

Other names 1

  • Caitlin Morrison Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address caitlin@hannahschool.com Direct

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 Science

State licenses

LicenseStateTypeSpecialty
201235ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Friendship Access to Clinical Therapeutic Services Speech-Language Pathologist CurrentSince Jan 15, 2023 Accepting new patients
Here 4 Kids Speech-Language Pathologist CurrentSince Apr 20, 2021 Accepting new patients

Locations

2 Country Club Cir
Maumelle, AR 72113
Phone (501) 800-1080

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": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1508464454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COUNTRY CLUB CIR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COUNTRY CLUB CIR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136578",
            "telephone_number": "501-800-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHER",
        "first_name": "CAITLIN",
        "credential": "M.S., SLP-CFY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "201235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABESPA",
            "identifier": "201235",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caitlin@hannahschool.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Country Club Cir",
            "city": "Maumelle",
            "state": "AR",
            "country_code": "US",
            "postal_code": "721136578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "MORRISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maumelle, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.