Active NPI
Kathleen Renee Pollard, M.A., CCC-SLP
- Speech-Language Pathologist
- Marietta, GA
National Provider Identifier
1811271455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP007656
- Practice address
- 1515 Kingfisher Dr
Marietta, GA 30062-2887 - Phone
- (415) 517-4092
- NPI assigned
- Sep 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | SLP007656 | GA | Primary |
Addresses
Primary practice location
1515 Kingfisher Dr
Marietta, GA 30062-2887
Mailing address
1515 Kingfisher Dr
Marietta, GA 30062-2887
Phone (415) 517-4092
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP007656 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kate Pollard, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Marietta, GA
- NPI 1023419835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398211200000",
"number": "1811271455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 KINGFISHER DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300622887",
"telephone_number": "415-517-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 KINGFISHER DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300622887",
"telephone_number": "415-517-4092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLARD",
"first_name": "KATHLEEN",
"middle_name": "RENEE",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-30",
"last_updated": "2014-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP007656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.