Kathleen Anne Smith, SPEECH THERAPTIST LA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2320 Issued in AL

Practice address

3105 Independence Dr
Ste 105
Birmingham, AL 35209-4111

Phone

(205) 803-2210

Fax

(205) 803-2214

NPI assigned

Oct 29, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alabama Neurology AssociatesGroup PAC ID 9739088626, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alabama Neurology Associates

  • Specialist
  • Birmingham, AL
  • NPI 1679642805
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1972908267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 INDEPENDENCE DR",
            "address_2": "STE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094111",
            "telephone_number": "205-803-2210",
            "fax_number": "205-803-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 INDEPENDENCE DR",
            "address_2": "STE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094111",
            "telephone_number": "205-803-2210",
            "fax_number": "205-803-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "SPEECH THERAPTIST LA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2320",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Edward Smith, MD
• Joshua Nolen Smith, PT, DPT
• Julie N Smith, R.PH.
• Kaitlin Keeler Smith, PA-C, ATC
• Katherine Maria Smith
• Kathryn K Smith, LCSW
• Katie Covington Smith, CRNP
• Katrina Hazen Smith, CRNP
• Kayla Smith, AU.D.
• Kelcie Smith

• Speech-Language Pathologist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.