Individual provider Active NPI

Katherine Elizabeth Lamb, MS CCC-SLP

  • Speech-Language Pathologist
  • Plymouth, MN
National Provider Identifier
1588896286
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8535 Issued in MN
Practice address
15600 36TH Ave N Ste 120
Plymouth, MN 55446-3687
Phone
(635) 950-8127
Fax
(763) 595-0824
NPI assigned
Aug 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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 8535 MN Primary

Addresses

Primary practice location

15600 36TH Ave N Ste 120
Plymouth, MN 55446-3687

Mailing address

15600 36TH Ave N Ste 120
Plymouth, MN 55446-3687
Phone (635) 950-8127

Other practice location 1

7250 France Ave S Ste 305
Edina, MN 55435
Phone (612) 273-3000

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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1588896286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 36TH AVE N STE 120",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463687",
            "telephone_number": "635-950-8127",
            "fax_number": "763-595-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 36TH AVE N STE 120",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463687",
            "telephone_number": "635-950-8127",
            "fax_number": "763-595-0824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7250 France Ave S Ste 305",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "55435",
            "country_code": "US",
            "telephone_number": "612-273-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMB",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

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

Verify at the official NPI Registry.