Katie Linn Mack, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL008630 Issued in PA

Practice address

510 Principal Drummond Way SE
Leesburg, VA 20175-4100

Phone

(571) 252-1920

NPI assigned

Sep 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Linn Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1780879353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 PRINCIPAL DRUMMOND WAY SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754100",
            "telephone_number": "571-252-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PRINCIPAL DRUMMOND WAY SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754100",
            "telephone_number": "571-252-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "KATIE",
        "middle_name": "LINN",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "DAVIS",
            "middle_name": "LINN",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grace Mang Yuet Ma, M.D
• Katie Anne Macdonald
• Racheal Machaka, LPC
• Susan K Machen II
• Carlton Mack
• Jon William Mader, M.D.
• Barbara Hollar Madgwick
• Susan G Magenheimer, CNM
• Jayne Magill, PA-C
• Hannah Magnolia, CNM

• Speech-Language Pathologist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.