Individual provider Active NPI

Kathryn A Overmyer, CCC SLP

  • Speech-Language Pathologist
  • Rocky Ford, CO
National Provider Identifier
1548338114
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01088492 Issued in MD
Practice address
900 South 12TH Street
Rocky Ford, CO 81067
Phone
(719) 254-4202
Fax
(719) 254-4202
NPI assigned
Dec 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 01088492 MD Primary

Addresses

Primary practice location

900 South 12TH Street
Rocky Ford, CO 81067

Mailing address

PO Box 68
Rocky Ford, CO 81067
Phone (719) 469-4953

Other names 1

  • Kathryn A Hollar 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
01088492MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548338114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "81067",
            "telephone_number": "719-469-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SOUTH 12TH STREET",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "81067",
            "telephone_number": "719-254-4202",
            "fax_number": "719-254-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERMYER",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "01088492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "HOLLAR",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rocky Ford, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.