Individual provider Active NPI

Kathy Jo Adams, KATHY ADAMS

  • Speech-Language Pathologist
  • Polson, MT
National Provider Identifier
1821316514
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
675 Issued in MT
Practice address
485 Mission View Dr
Polson, MT 59860-4142
Phone
(406) 883-9272
NPI assigned
May 6, 2010
Last updated
May 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2010

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 675 MT Primary

Addresses

Primary practice location

485 Mission View Dr
Polson, MT 59860-4142

Mailing address

485 Mission View Dr
Polson, MT 59860-4142
Phone (406) 883-9272

Other names 1

  • Kathy Adams 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

State licenses

LicenseStateTypeSpecialty
675MTMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1821316514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 MISSION VIEW DR",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598604142",
            "telephone_number": "406-883-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 MISSION VIEW DR",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598604142",
            "telephone_number": "406-883-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KATHY",
        "middle_name": "JO",
        "credential": "KATHY ADAMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "ADAMS",
            "credential": "KATHY ADAMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Polson, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.