Individual provider Active NPI

Katie Potter Larkey

  • Speech-Language Pathologist
  • Johnson City, TN
National Provider Identifier
1669232377
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8312 Issued in TN
Practice address
3692 W Market St
Johnson City, TN 37604-9302
Phone
(423) 724-7759
Fax
(423) 205-5706
NPI assigned
Mar 20, 2024
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 8312 TN Primary

Addresses

Primary practice location

3692 W Market St
Johnson City, TN 37604-9302

Mailing address

150 Pine Cone TRL
Unicoi, TN 37692-4956
Phone (423) 724-7759

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

State licenses

LicenseStateTypeSpecialty
8312TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Growmemyo LLC Speech-Language Pathologist CurrentSince Mar 24, 2024 Accepting new patients

Locations

3692 W Market St
Johnson City, TN 37604
Phone (423) 724-7759

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1669232377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PINE CONE TRL",
            "city": "UNICOI",
            "state": "TN",
            "postal_code": "376924956",
            "telephone_number": "423-724-7759",
            "fax_number": "423-205-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3692 W MARKET ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376049302",
            "telephone_number": "423-724-7759",
            "fax_number": "423-205-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKEY",
        "first_name": "KATIE",
        "middle_name": "POTTER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "8312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.