Individual provider Active NPI

Kathleen Coleman

  • Speech-Language Pathologist
  • Boston, MA
National Provider Identifier
1689807117
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7746 Issued in MA
Practice address
77 Salem St Apt 6B
Boston, MA 02113-2259
Phone
(516) 395-4316
NPI assigned
Sep 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 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 7746 MA Primary

Addresses

Primary practice location

77 Salem St Apt 6B
Boston, MA 02113-2259

Mailing address

77 Salem St Apt 6B
Boston, MA 02113-2259
Phone (516) 395-4316

Other practice location 1

2 Keewaydin Dr
Salem, NH 03079-2839
Phone (800) 995-2673 ext. 1351

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

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1689807117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SALEM ST APT 6B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021132259",
            "telephone_number": "516-395-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SALEM ST APT 6B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021132259",
            "telephone_number": "516-395-4316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Keewaydin Dr",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030792839",
            "country_code": "US",
            "telephone_number": "800-995-2673 x1351",
            "fax_number": "866-420-1055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.