Kerry Rae Pippin, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

129 Issued in AK

Practice address

415 1St Ave
Fairbanks, AK 99701-4722

Phone

(907) 347-6494

NPI assigned

Jun 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Chatter House, L.L.C.

  • Speech-Language Pathologist
  • Fairbanks, AK
  • NPI 1205160470
  NPD (past) Authorized official

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249171200000",
    "number": "1043414667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 CRANBERRY RIDGE DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997121102",
            "telephone_number": "907-347-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 1ST AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014722",
            "telephone_number": "907-347-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPIN",
        "first_name": "KERRY",
        "middle_name": "RAE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2009-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "5888",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pierre M. Johnson, MD PC
• Nataliya Pinchuk, OTR/L
• Valerie Pingayak
• Devon E Pinkerton
• Kathryn Grace Pippin
• Jacob M Piser
• Susanna Pitka
• Tashina Briana Pitka
• Christine Pitser
• Betty Ellen Pixley, RN

• Speech-Language Pathologist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2009; 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.