Katherine McKernan, SLPD, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19847 Issued in CA

Practice address

4624 W Point Loma Blvd Unit 3
San Diego, CA 92107-1441

Phone

(619) 436-1187

NPI assigned

Jun 9, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• North Star Speech and Language Pathology Center, Inc.

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1821608670
  NPD
• Hardy and Lukes Physical Therapy, Inc.

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1356013650
  NPD (past)
• K.I.D.S. Therapy Associates, Inc., a Physical Therapy Corporation

  • Pediatric Physical Therapist
  • San Diego, CA
  • NPI 1598724577

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1952714776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 W POINT LOMA BLVD UNIT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071441",
            "telephone_number": "619-436-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 W POINT LOMA BLVD UNIT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071441",
            "telephone_number": "619-436-1187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11838 Bernardo Plaza Ct",
            "address_2": "# 110",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921282413",
            "country_code": "US",
            "telephone_number": "858-673-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4624 W Point Loma Blvd Unit 3",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921071441",
            "country_code": "US",
            "telephone_number": "775-240-7384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4624 W Point Loma Blvd Unit 3",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921071441",
            "country_code": "US",
            "telephone_number": "619-436-1187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKERNAN",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "SLPD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenica Loren McKeown, LCSW
• Sarah Jo McKeown, M.S., CCC-SLP
• Sean Michael McKeown, PHYSICAL THERAPIST
• Todd McKeown
• Ruth Ann McKercher, PH.D.
• Rita Ann Bradshaw McKerring, PPSC
• Anna McKinley, PA-C
• Jennifer Leung McKinley, M.A.
• Stephanie Renee McKinley
• Amber McKinney-Morgan

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.