Active NPI
Katherine Vanwinkle Verdugo, M.S., CF-SLP
- Speech-Language Pathologist
- Chandler, AZ
National Provider Identifier
1770922213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP8354
- Practice address
- 2040 S Alma School Rd
Suite 1, PBM 500
Chandler, AZ 85286-7075 - Phone
- (602) 323-0894
- Fax
- (602) 445-9337
- NPI assigned
- Jun 18, 2013
- 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 | TSLP8354 | AZ | Primary |
Addresses
Primary practice location
2040 S Alma School Rd
Suite 1, PBM 500
Chandler, AZ 85286-7075
Mailing address
3916 S Napa LN
Gilbert, AZ 85297-3539
Phone (480) 600-1910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TSLP8354 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Therapy, Inc. | Current | Accepting new patients | |
| Theracare PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188
530 E McDowell Rd
Ste 107475
Phoenix, AZ 85004
Organizations & group practices 2
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.
-
- Home Health Agency
- Mesa, AZ
- NPI 1962552547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1770922213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3916 S NAPA LN",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852973539",
"telephone_number": "480-600-1910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 S ALMA SCHOOL RD",
"address_2": "SUITE 1, PBM 500",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852867075",
"telephone_number": "602-323-0894",
"fax_number": "602-445-9337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDUGO",
"first_name": "KATHERINE",
"middle_name": "VANWINKLE",
"credential": "M.S., CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-18",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP8354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.