Kaara Fairbanks

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60943465 Issued in WA

Practice address

2929 5TH Ave NE Ste a
Puyallup, WA 98372-6782

Phone

(253) 447-8216

NPI assigned

Aug 6, 2013

Sex

Female

Sole proprietor

No

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.

• Kids at Play Therapy, LLC

  • Specialist
  • Sumner, WA
  • NPI 1770819385
  NPD (past)

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1053743609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7908 N ASH LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 5TH AVE NE STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983726782",
            "telephone_number": "253-447-8216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7908 N Ash Ln",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992085062",
            "country_code": "US",
            "telephone_number": "509-336-9494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRBANKS",
        "first_name": "KAARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP8474",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60943465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evolution Chiropractic LLC
• Experience Physical Therapy
• Kathleen Ann Ezell
• Lizbeth Fabian, RPH
• Jordan Marie Fahey, ACSM-CEP
• Family First Chiropractic
• Family Foot Clinic Inc
• Family Foot Health Center Inc.
• Jenny Fang
• Shannon S Farazi, D.M.D.

• Speech-Language Pathologist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.