Katelyn Noelle Witt, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2021032006 Issued in MO

Practice address

4812 Santana Cir
Columbia, MO 65203-7138

Phone

(573) 380-5557

NPI assigned

Aug 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compass Therapy Solutions

  • Physical Therapy Clinic/Center
  • Columbia, MO
  • NPI 1013648229
  NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1730855131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 W SKYLER DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025901",
            "telephone_number": "402-957-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 SANTANA CIR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037138",
            "telephone_number": "573-380-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "KATELYN",
        "middle_name": "NOELLE",
        "name_prefix": "Miss",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2021032006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Nicole Wissman, FNP
• Robert David Wissman, M.D.
• Laura Teresa Withers, M.D.
• Laura Ann Withrow, CRNA
• Abigail Marie Witt, DO
• Frank J Witte, PT
• Darren Alan Wittenberger, DDS
• Rachael Wittenberger, PT
• Christina Marie Wittich, PMHNP-BC
• Lola A Wobken, RNC, WHNP

• Speech-Language Pathologist in Columbia, MO
• Providers in Columbia, 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 May 19, 2023; 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.