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Kathleen Patricia Clutter , MA

Speech-Language Pathologist β€’ Bothell, WA

Active NPI 1710026901 Individual Practitioner Female Practitioner
Practice location in NPPES

19021 120th Ave Ne Ste 102
Bothell, WA 980119511

Call 4254867710 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

19021 120th Ave Ne Ste 102

Bothell, WA 980119511

Telephone 4254867710
Organization at the Same NPPES Address or Phone
Children's Therapy Of Woodinville Facility NPI 1558440198

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bothell and Washington

49 active clinicians are listed under Speech-Language Pathologist with a practice address in Bothell, WA (4,109 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bothell

0% of these 49 clinicians have the CMS telehealth indicator.

0% of these 49 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-05-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES WA LL00004721

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES WA SI00004315

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location May 10, 2022

Registered at 19021 120TH AVE NE STE 102, BOTHELL, WA 980119511 (Tel: 4254867710)

πŸ“
Updated Business Mailing Address May 10, 2022

Registered at 19021 120TH AVE NE STE 102, BOTHELL, WA 980119511 (Tel: 4254867710)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2022

Speech-Language Pathologist (license number reported to NPPES: WA SI00004315)

βœ…
NPI Profile Active May 24, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 24, 2011

Registered at 17311 135TH AVE NE, SUITE C-200, WOODINVILLE, WA 980723519 (Tel: 4254867710)

πŸ“
Business Mailing Address (Initial Record) May 24, 2011

Registered at 16432 2ND AVE SE, MILL CREEK, WA 980124954 (Tel: 4259492434)

πŸ‘€
Provider Name / Credentials (Initial Record) May 24, 2011

Recorded as KATHLEEN CLUTTER, M.A.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2011

Speech-Language Pathologist (license number reported to NPPES: WA LL00004721)

🟒
Initial NPI Registration & Enumeration February 05, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710026901
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2007
Last Update: May 10, 2022
Sole Proprietor: No

Mailing Address

19021 120th Ave Ne Ste 102

Bothell, WA 980119511

Phone: 4254867710

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.