Active NPI
Kathleen Ann McDonald, SPEECH-LANGUAGE PATH
- Speech-Language Pathologist
- Utica, NY
National Provider Identifier
1740588821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 002398-1
- Practice address
- 2209 Genesee St
Utica, NY 13501-5930 - Phone
- (315) 801-3282
- Fax
- (315) 801-8391
- NPI assigned
- Mar 14, 2011
- 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 | 002398-1 | NY | Primary |
Addresses
Primary practice location
2209 Genesee St
Utica, NY 13501-5930
Mailing address
2209 Genesee St
Utica, NY 13501-5930
Phone (315) 801-3282
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002398-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1740588821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 GENESEE ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135015930",
"telephone_number": "315-801-3282",
"fax_number": "315-801-8391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 GENESEE ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135015930",
"telephone_number": "315-801-3282",
"fax_number": "315-801-8391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"credential": "SPEECH-LANGUAGE PATH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-14",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "002398-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.