Active NPI
Kathryn Pence
- Speech-Language Pathologist
- Oak Harbor, WA
National Provider Identifier
1568244606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 151 SE Midway Blvd
Oak Harbor, WA 98277-5082 - Phone
- (360) 279-5117
- NPI assigned
- Oct 13, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
151 SE Midway Blvd
Oak Harbor, WA 98277-5082
Mailing address
4210 Glasgow Way
Anacortes, WA 98221-1111
Phone (509) 797-3357
Other practice location 1
473 SW Fairhaven Dr
Oak Harbor, WA 98277-2287
Phone (360) 279-5272
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1568244606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4210 GLASGOW WAY",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982211111",
"telephone_number": "509-797-3357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 SE MIDWAY BLVD",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982775082",
"telephone_number": "360-279-5117"
}
],
"practiceLocations": [
{
"address_1": "473 SW Fairhaven Dr",
"address_purpose": "LOCATION",
"city": "Oak Harbor",
"state": "WA",
"postal_code": "982772287",
"country_code": "US",
"telephone_number": "360-279-5272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENCE",
"first_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-13",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.