KATHRYN ELIZABETH TICKNOR
NPI 1851286025
Speech-Language Pathologist in Richmond, VA
About Kathryn Elizabeth Ticknor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN ELIZABETH TICKNOR (NPI 1851286025) is an individual speech-language pathologist provider in Richmond, Virginia, licensed in Virginia (2204001575) and active in the NPI registry since June 2025.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathryn Elizabeth Ticknor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathryn Ticknor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Knoxville, TN 37932
- Reassigned Medicare billing, Virginia enrollment
- 147 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kathryn Ticknor's NPI number?
The NPI number for Kathryn Ticknor is 1851286025. It was assigned to this individual provider in the NPPES registry on June 10, 2025.
Where is Kathryn Ticknor located?
Kathryn Ticknor practices at 13700 N Gayton Rd, Richmond, VA 23233. The listed phone number is (703) 307-6679.
What is Kathryn Ticknor's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Kathryn Ticknor enrolled in Medicare?
Yes. Kathryn Ticknor is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathryn Ticknor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Ticknor reassigns Medicare benefits to Functional Pathways Preferred Of Tennessee LLC (Knoxville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Ticknor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathryn Ticknor was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kathryn Elizabeth Ticknor · NPI 1851286025
Speech-Language Pathologist provider in Richmond, Virginia. Individual provider, active in the CMS NPPES registry since June 10, 2025.
## Identity
- **NPI:** 1851286025 (Entity type: Individual)
- **Enumerated:** June 10, 2025
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 2204001575 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 13700 N GAYTON RD, Richmond, VA 23233-7017
- **Phone:** (703) 307-6679
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Functional Pathways Preferred Of Tennessee LLC (NPI 1841561446, Knoxville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1851286025) · Data from the CMS NPPES public registry.