Kynisha Cloud

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL011495 Issued in PA

Practice address

36 Creekside Dr
Elizabethtown, PA 17022-9230

Phone

(717) 689-3907

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Decode It

  • Speech-Language Pathologist
  • Harrisburg, PA
  • NPI 1619531399
  NPD (past) Authorized official

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1013464437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 LEXINGTON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171102626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CREEKSIDE DR",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229230",
            "telephone_number": "717-689-3907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2204 Bradley Dr",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109525",
            "country_code": "US",
            "telephone_number": "717-649-7425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOUD",
        "first_name": "KYNISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa C Carlson, MD
• Anna Catherine Catalano, D.O.
• Central PA Therapy Connections, LLC
• Annemarie Jacqueline Charland, FNP-BC
• Leon L Chow, RPH
• Lori Clouser, HEALTH COACH
• David William Clugston, D.C.
• Courtney Lynn Coleman, PHARMD
• Scott C Conley, M.D.
• Glenda J Cook, M.D.

• Speech-Language Pathologist in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.