Active NPI
Kathryn E. Penge, SP
- Speech-Language Pathologist
- Portland, ME
National Provider Identifier
1689899569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP1827
- Practice address
- 53 Caleb St
Portland, ME 04102-2235 - Phone
- (207) 939-7162
- NPI assigned
- Apr 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP1827 | ME | Primary |
Addresses
Primary practice location
53 Caleb St
Portland, ME 04102-2235
Mailing address
53 Caleb St
Portland, ME 04102-2235
Phone (207) 939-7162
Other practice location 1
146 State House Sta
Augusta, ME 04333-1539
Phone (207) 624-6660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102560200 | Medicaid | ME | |
| 433023799 | Other | ME | MAINE CARE |
Other names 1
- Kathryn Penge
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP1827 | ME | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1689899569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 CALEB ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022235",
"telephone_number": "207-939-7162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 CALEB ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022235",
"telephone_number": "207-939-7162"
}
],
"practiceLocations": [
{
"address_1": "146 State House Sta",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "ME",
"postal_code": "043331539",
"country_code": "US",
"telephone_number": "207-624-6660",
"fax_number": "207-624-6661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENGE",
"first_name": "KATHRYN",
"middle_name": "E.",
"credential": "SP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP1827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102560200",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE CARE",
"identifier": "433023799",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "PENGE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.