Katherine Rose Gudim, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11780306-4102 Issued in UT

Practice address

365 W 1550 N Ste H
Layton, UT 84041-2279

Phone

(801) 618-7903

NPI assigned

Aug 6, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

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  • Colorado Springs, CO
  • NPI 1457962417
  Medicare reassignment NPD
• OT Innovations, LLC

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  • Layton, UT
  • NPI 1578082954

  Speech-Language Pathologist

  NPD
• Katey Blehm M.a. CCC-SLP

  • Speech-Language Pathologist
  • Colorado Springs, CO
  • NPI 1871360354
  NPD
• Katey Blehm M.a. CCC-SLP

  • Speech-Language Pathologist
  • Colorado Springs, CO
  • NPI 1932388253
  NPD
• Choice Family Medicine, PC

  • Primary Care Clinic/Center
  • Valdosta, GA
  • NPI 1609087469
  NPD (past)

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1922484575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W 1550 N STE H",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W 1550 N STE H",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412279",
            "telephone_number": "801-618-7903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Emory St",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316021808",
            "country_code": "US",
            "telephone_number": "229-244-1667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUDIM",
        "first_name": "KATHERINE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009303",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "11780306-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@abilityinnovations.com",
            "affiliation": "N",
            "address_1": "365 W 1550 N Ste H",
            "city": "Layton",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840412279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Layton, UT
• Providers in Layton, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.

Verify at the official NPI Registry.