Individual provider Active NPI

Kathryn Donna Hardy, MS SLP

  • Speech-Language Pathologist
  • Lakewood, WA
National Provider Identifier
1811770282
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
61478692 Issued in WA
Practice address
9307 Bridgeport Way SW
Lakewood, WA 98499-1570
Phone
(253) 201-1234
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 61478692 WA Primary

Addresses

Primary practice location

9307 Bridgeport Way SW
Lakewood, WA 98499-1570

Mailing address

106 S 46TH St Unit B
Tacoma, WA 98418-7714
Phone (360) 583-0190

Other names 1

  • K.D. Hardy Caballero Other name

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

State licenses

LicenseStateTypeSpecialty
61478692WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Sky Therapy PLLC CurrentSince Aug 27, 2023 Accepting new patients
Sky Bridge Therapies LLC Speech-Language Pathologist PastSince Aug 27, 2023 Accepting new patients

Locations

9307 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 201-1234

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.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1811770282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S 46TH ST UNIT B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187714",
            "telephone_number": "360-583-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9307 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991570",
            "telephone_number": "253-201-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "KATHRYN",
        "middle_name": "DONNA",
        "credential": "MS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "61478692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "K.D.",
            "last_name": "HARDY CABALLERO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.