Individual provider Active NPI

Katherine May Vaughan, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Monument, CO
National Provider Identifier
1609167188
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1840 Deer Creek Rd Ste 200
Monument, CO 80132-9052
Phone
(719) 301-0218
NPI assigned
May 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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 CO Primary

Addresses

Primary practice location

1840 Deer Creek Rd Ste 200
Monument, CO 80132-9052

Mailing address

1840 Deer Creek Rd Ste 200
Monument, CO 80132-9052
Phone (719) 301-0218

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leap Speech Therapy LLC Speech-Language Pathologist CurrentSince Nov 9, 2021 Accepting new patients

Locations

2140 Hollow Brook Dr
Ste 100
Colorado Springs, CO 80918
Phone (719) 301-0218

110 N Tejon St
Ste 204
Colorado Springs, CO 80903
Phone (719) 301-0218

1840 Deer Creek Rd
Ste 200
Monument, CO 80132
Phone (719) 301-0218

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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1609167188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 DEER CREEK RD STE 200",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329052",
            "telephone_number": "719-301-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 DEER CREEK RD STE 200",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329052",
            "telephone_number": "719-301-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "KATHERINE",
        "middle_name": "MAY",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.