Individual provider Active NPI

Katherine Vahlberg, M.A.,SLP

  • Speech-Language Pathologist
  • Tulsa, OK
National Provider Identifier
1609161405
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3771 Issued in OK
Practice address
1724 S Harvard Ave
Tulsa, OK 74112-6826
Phone
(918) 250-7093
Fax
(918) 250-9976
NPI assigned
Jun 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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 3771 OK Primary

Addresses

Primary practice location

1724 S Harvard Ave
Tulsa, OK 74112-6826

Mailing address

1724 S Harvard Ave
Tulsa, OK 74112-6826
Phone (918) 250-7093

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 Arts

State licenses

LicenseStateTypeSpecialty
3771OKMDDiagnostic Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1609161405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741126826",
            "telephone_number": "918-250-7093",
            "fax_number": "918-250-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741126826",
            "telephone_number": "918-250-7093",
            "fax_number": "918-250-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHLBERG",
        "first_name": "KATHERINE",
        "credential": "M.A.,SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.