Individual provider Active NPI

Katharine Brosnahan, M.S./CCC-SLP

  • Speech-Language Pathologist
  • White Plains, NY
National Provider Identifier
1710130364
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013170 Issued in NY
Practice address
20 N Broadway Apt J346
White Plains, NY 10601-2154
Phone
(914) 772-0744
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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 013170 NY Primary

Addresses

Primary practice location

20 N Broadway Apt J346
White Plains, NY 10601-2154

Mailing address

20 N Broadway Apt J346
White Plains, NY 10601-2154
Phone (914) 772-0744

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

LicenseStateTypeSpecialty
013170NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1710130364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N BROADWAY APT J346",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106012154",
            "telephone_number": "914-772-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N BROADWAY APT J346",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106012154",
            "telephone_number": "914-772-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSNAHAN",
        "first_name": "KATHARINE",
        "credential": "M.S./CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.