1992986590 NPI number — KATHERINE JANE BOGART M.S., CCC-SLP

NPI Number: 1992986590
Health Care Provider/Practitioner: KATHERINE JANE BOGART M.S., CCC-SLP

NPI Number : 1992986590 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992986590",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOGART",
    "FirstName": "KATHERINE",
    "MiddleName": "JANE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.S., CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ANDERSON",
    "OtherFirstName": "KATHERINE",
    "OtherMiddleName": "JANE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.S., CCC-SLP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "138 CEDAR ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRATTLEBORO",
    "MailingAddressStateName": "VT",
    "MailingAddressPostalCode": "05301-6119",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-302-9535",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "209 AUSTINE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRATTLEBORO",
    "PracticeLocationAddressStateName": "VT",
    "PracticeLocationAddressPostalCode": "05301-7223",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "802-257-7852",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/26/2007",
    "LastUpdateDate": "06/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "SAH-2025-0079",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "144.0134537",
          "LicenseNumberStateCode": "VT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}