Individual provider Active NPI

Katherine Nicole Von Bargen, CCC-SLP, CLC

  • Speech-Language Pathologist
  • McKinney, TX
National Provider Identifier
1528810595
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
121070 Issued in TX
Practice address
8751 Collin McKinney Pkwy Ste 603
McKinney, TX 75070-1853
Phone
(469) 297-6340
NPI assigned
Apr 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 121070 TX Primary

Addresses

Primary practice location

8751 Collin McKinney Pkwy Ste 603
McKinney, TX 75070-1853

Mailing address

11330 Legacy Dr Ste 306
Frisco, TX 75033-1217
Phone (469) 297-6340

Other names 1

  • Katie Von Bargen Other name

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

LicenseStateTypeSpecialty
121070TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Frisco Feeding & Speech Therapy Speech-Language Pathologist CurrentSince Apr 9, 2024 Accepting new patients

Locations

11330 Legacy Dr
Ste 306
Frisco, TX 75033
Phone (469) 297-6340

8751 Collin McKinney Pkwy
Ste 1401
McKinney, TX 75070

8751 Collin McKinney Pkwy
Ste 603
McKinney, TX 75070
Phone (469) 297-6340

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": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1528810595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 LEGACY DR STE 306",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331217",
            "telephone_number": "469-297-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 COLLIN MCKINNEY PKWY STE 603",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701853",
            "telephone_number": "469-297-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON BARGEN",
        "first_name": "KATHERINE",
        "middle_name": "NICOLE",
        "credential": "CCC-SLP, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "121070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "VON BARGEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.