Active NPI
Karen Krafft, CCC/LSP
- Speech-Language Pathologist
- Brewerton, NY
National Provider Identifier
1043465123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 005953-1
- Practice address
- 5157 Comstock Rd
Brewerton, NY 13029-8730 - Phone
- (315) 569-5055
- Fax
- (315) 569-5055
- NPI assigned
- Nov 17, 2008
- Last updated
- Nov 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 005953-1 | NY | Primary |
Addresses
Primary practice location
5157 Comstock Rd
Brewerton, NY 13029-8730
Mailing address
5157 Comstock Rd
Brewerton, NY 13029-8730
Phone (315) 569-5055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005953-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226880000000",
"number": "1043465123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5157 COMSTOCK RD",
"city": "BREWERTON",
"state": "NY",
"postal_code": "130298730",
"telephone_number": "315-569-5055",
"fax_number": "315-569-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5157 COMSTOCK RD",
"city": "BREWERTON",
"state": "NY",
"postal_code": "130298730",
"telephone_number": "315-569-5055",
"fax_number": "315-569-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAFFT",
"first_name": "KAREN",
"name_prefix": "Ms.",
"credential": "CCC/LSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-17",
"last_updated": "2008-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "005953-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brewerton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.