Active NPI
Katherine Anna Ortiz, SLP
- Speech-Language Pathologist
- Novato, CA
National Provider Identifier
1689918781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 15734
- Practice address
- 1263 Valley Oak CT
Unit B
Novato, CA 94947-4739 - Phone
- (248) 941-2700
- NPI assigned
- Nov 15, 2012
- Last updated
- Jul 17, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 15734 | CA | Primary |
Addresses
Primary practice location
1263 Valley Oak CT
Unit B
Novato, CA 94947-4739
Mailing address
1285 Lynwood Dr
Novato, CA 94947
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP15734 | Other | CA | CA SLP LICENSE |
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 |
|---|---|---|---|
| SP 15734 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1689918781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1285 LYNWOOD DR",
"city": "NOVATO",
"state": "CA",
"postal_code": "94947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1263 VALLEY OAK CT",
"address_2": "UNIT B",
"city": "NOVATO",
"state": "CA",
"postal_code": "949474739",
"telephone_number": "248-941-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "KATHERINE",
"middle_name": "ANNA",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP 15734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA SLP LICENSE",
"identifier": "SP15734",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.