Active NPI
Katherine Candland Perez, M.A. CCC-SLP
- Speech-Language Pathologist
- Rogers, AR
National Provider Identifier
1679698732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2100 West Perry Rd
Rogers, AR 72758 - Phone
- (479) 631-3515
- Fax
- (479) 202-9105
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 | SLP4343 | AZ | |
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2100 West Perry Rd
Rogers, AR 72758
Mailing address
500 W. Walnut St
Rogers, AR 72756
Phone (479) 636-3910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 581274 | Other | AZ | AHCCCS ID |
Other names 1
- Katherine Anne Perez
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP4343 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogers Public Schools | Past | Accepting new patients |
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.
-
- Local Education Agency (LEA)
- Rogers, AR
- NPI 1780707018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1679698732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W. WALNUT ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "72756",
"telephone_number": "479-636-3910",
"fax_number": "479-202-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 WEST PERRY RD",
"city": "ROGERS",
"state": "AR",
"postal_code": "72758",
"telephone_number": "479-631-3515",
"fax_number": "479-202-9105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "KATHERINE",
"middle_name": "CANDLAND",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP4343",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS ID",
"identifier": "581274",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "PEREZ",
"middle_name": "ANNE",
"credential": "M.A. CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.