Active NPI
Kathryn Lera Shute, M.S., CCC-SLP
- Speech-Language Pathologist
- Baltimore, MD
National Provider Identifier
1730361692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 04847
- Practice address
- 5900 Metro Dr
Baltimore, MD 21215-3207 - Phone
- (410) 318-6780
- Fax
- (410) 318-6759
- NPI assigned
- Dec 3, 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 | 04847 | MD | Primary |
Addresses
Primary practice location
5900 Metro Dr
Baltimore, MD 21215-3207
Mailing address
5900 Metro Dr
Baltimore, MD 21215-3207
Phone (410) 318-6780
Other practice location 1
2776 S Arlington Mill Dr # 534
Arlington, VA 22206-3402
Phone (703) 879-2479
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 885077-01 | Other | MD | CAREFIRST BCBS |
| J175-0027 | Other | DC | CAREFIRST BCBS |
| 885077-02 | Other | MD | CAREFIRST BCBS |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1730361692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 METRO DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212153207",
"telephone_number": "410-318-6780",
"fax_number": "410-318-6759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 METRO DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212153207",
"telephone_number": "410-318-6780",
"fax_number": "410-318-6759"
}
],
"practiceLocations": [
{
"address_1": "2776 S Arlington Mill Dr # 534",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222063402",
"country_code": "US",
"telephone_number": "703-879-2479",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUTE",
"first_name": "KATHRYN",
"middle_name": "LERA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "04847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "885077-01",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "J175-0027",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "885077-02",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.