Active NPI
Kathryn L McSurdy, M.S, CCC-SLP
- Speech-Language Pathologist
- Tewksbury, MA
National Provider Identifier
1740501360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 365 East St
Tewksbury, MA 01876-1950 - Phone
- (978) 851-7321
- Fax
- (978) 863-2235
- NPI assigned
- Jun 17, 2010
- 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 | Primary |
Addresses
Primary practice location
365 East St
Tewksbury, MA 01876-1950
Mailing address
1360 Main St
Unit 201
Tewksbury, MA 01876-2197
Phone (978) 618-8404
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1740501360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 MAIN ST",
"address_2": "UNIT 201",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018762197",
"telephone_number": "978-618-8404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 EAST ST",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018761950",
"telephone_number": "978-851-7321",
"fax_number": "978-863-2235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCSURDY",
"first_name": "KATHRYN",
"middle_name": "L",
"credential": "M.S, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-17",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tewksbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.