Organization Active NPI

Kathryn J Wage

  • Speech-Language Pathologist
  • Fresno, CA
National Provider Identifier
1992866545
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2647 Issued in CA
Legal business name
KATHRYN J WAGE
Practice address
2505 W Shaw Ave
Building a
Fresno, CA 93711-3334
Phone
(559) 228-9100
Fax
(559) 228-9100
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kathryn J Wage, M.A., CCC-SLPNPI 1487066064
Title
Director
Phone
(559) 228-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2647 CA Primary

Addresses

Primary practice location

2505 W Shaw Ave
Building a
Fresno, CA 93711-3334

Mailing address

2505 W Shaw Ave
Building a
Fresno, CA 93711-3334
Phone (559) 228-9100

Other names 1

  • Center for Communication Skills Doing business as

National Provider Directory

National Provider Directory

Locations

2505 W Shaw Ave
Bldg A
Fresno, CA 93711
Phone (559) 228-9100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992866545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 W SHAW AVE",
            "address_2": "BUILDING A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113334",
            "telephone_number": "559-228-9100",
            "fax_number": "559-228-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 W SHAW AVE",
            "address_2": "BUILDING A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113334",
            "telephone_number": "559-228-9100",
            "fax_number": "559-228-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN J WAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-228-9100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "2647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Communication Skills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.