Individual provider Active NPI

Katharine Pederson

  • Speech-Language Pathologist
  • Toledo, OH
National Provider Identifier
1619456183
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3450 W Central Ave Ste 336
Toledo, OH 43606-1418
Phone
(419) 536-4247
NPI assigned
Aug 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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 Primary

Addresses

Primary practice location

3450 W Central Ave Ste 336
Toledo, OH 43606-1418

Mailing address

3450 W Central Ave Ste 336
Toledo, OH 43606-1418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211206000696 TN Practitioner - Qualified Speech Language Pathologist 1557751690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RWW Outpatient Rehab Services, LLCGroup PAC ID 8729333521, 108 clinicians

Practice addresses (Care Compare)

2892 S Church St
Unit a
Murfreesboro, TN 37127-6374
Phone (615) 447-9520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Outpatient Rehab Services, LLC CurrentSince Nov 17, 2021 Accepting new patients
RWW Outpatient Rehab Services, LLC CurrentSince Nov 17, 2021 Accepting new patients
RWW Outpatient Rehab Services, LLC Current Accepting new patients
Northwest Ohio Speech Language and Speech-Language Pathologist Past Accepting new patients

Locations

105 Glen Oak Blvd
Ste 101
Hendersonvlle, TN 37075
Phone (615) 826-6612

2892 S Church St
Ste A
Murfreesboro, TN 37127
Phone (615) 447-9520

Organizations & group practices 4

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": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1619456183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 W CENTRAL AVE STE 336",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 W CENTRAL AVE STE 336",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061418",
            "telephone_number": "419-536-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "KATHARINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.