Active NPI
Kathryn Elizabeth Mossburg
- Speech-Language Pathologist
- Kalamazoo, MI
National Provider Identifier
1982598470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101007416
- Practice address
- 3057 Gull Rd
Kalamazoo, MI 49048-1281 - Phone
- (269) 611-3222
- NPI assigned
- Jun 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22007105A | IN | |
| Speech-Language Pathologist | 235Z00000X | 7101007416 | MI | Primary |
Addresses
Primary practice location
3057 Gull Rd
Kalamazoo, MI 49048-1281
Mailing address
7774 W G Ave
Kalamazoo, MI 49009-8555
Other practice location 1
1400 N Drake Rd
Kalamazoo, MI 49006-1978
Phone (269) 381-0560
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22007105A | IN | MD | Speech-Language Pathologist |
| 7101007416 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749254400000",
"number": "1982598470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7774 W G AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490098555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3057 GULL RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481281",
"telephone_number": "269-611-3222"
}
],
"practiceLocations": [
{
"address_1": "1400 N Drake Rd",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490061978",
"country_code": "US",
"telephone_number": "269-381-0560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSSBURG",
"first_name": "KATHRYN",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-07",
"last_updated": "2025-06-07",
"certification_date": "2025-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22007105A",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101007416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.