Active NPI
Katelyn Danielle Forthaus, M.S. CCC-SLP
- Speech-Language Pathologist
- Arnold, MO
National Provider Identifier
1679120026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 3488 Jeffco Blvd
Arnold, MO 63010-6015 - Phone
- (636) 464-5439
- Fax
- (636) 464-5438
- NPI assigned
- Aug 21, 2019
- Last updated
- Dec 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2019027196 | MO | |
| Speech-Language Pathologist | 235Z00000X | MO | Primary |
Addresses
Primary practice location
3488 Jeffco Blvd
Arnold, MO 63010-6015
Mailing address
5323 Kings Park Dr
Saint Louis, MO 63129-3137
Phone (636) 208-4570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019027196 | Other | MO | MISSOURI BOARD CERTIFIED LICENSE-SPEECH LANGUAGE PATHOLOGY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kforthaus@fz.k12.mo.us |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019027196 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1679120026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5323 KINGS PARK DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631293137",
"telephone_number": "636-208-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3488 JEFFCO BLVD",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630106015",
"telephone_number": "636-464-5439",
"fax_number": "636-464-5438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTHAUS",
"first_name": "KATELYN",
"middle_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2019027196",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI BOARD CERTIFIED LICENSE-SPEECH LANGUAGE PATHOLOGY",
"identifier": "2019027196",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kforthaus@fz.k12.mo.us",
"affiliation": "N",
"address_1": "7479 Mexico Rd",
"city": "Saint Peters",
"state": "MO",
"country_code": "US",
"postal_code": "633761304",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Arnold, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.