Katherine S Bourque, PHD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2011021425 Issued in MO

Practice address

226 W 66TH Ter
Kansas City, MO 64113-1855

Phone

(816) 517-0333

NPI assigned

Aug 10, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Katherine S Thiemann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1710266515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 W 66TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641131855",
            "telephone_number": "816-517-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 W 66TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641131855",
            "telephone_number": "816-517-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURQUE",
        "first_name": "KATHERINE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2011021425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "THIEMANN",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Douglas J Bottorff
• Isabelle M Bouchard, RDN
• Joshua P Boucher, O.D.
• David William Bouda, MD
• Houssam Bouloussa, MD, MS
• Kathryn C Bourzikas, CPNP
• Janelle Bouslog, PHARMD
• Casey Bouton
• Allison Michelle Boutte
• Alphonse Hillard Boutte Jr.

• Speech-Language Pathologist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.