Active NPI
Kylie Cappella
- Speech-Language Pathologist
- Altoona, PA
National Provider Identifier
1063134252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL016506
- Practice address
- 501 Valley View Blvd
Altoona, PA 16602-6410 - Phone
- (814) 205-1404
- Fax
- (814) 201-2021
- NPI assigned
- Sep 14, 2022
- 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 | SL016506 | PA | Primary |
Addresses
Primary practice location
501 Valley View Blvd
Altoona, PA 16602-6410
Mailing address
203 Leaf LN
Hollidaysburg, PA 16648-1039
Phone (814) 931-1587
Other practice location 1
1798 Pleasant Valley Blvd
Duncansville, PA 16635
Phone (814) 696-3400
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 |
|---|---|---|---|
| SL016506 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1063134252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 LEAF LN",
"city": "HOLLIDAYSBURG",
"state": "PA",
"postal_code": "166481039",
"telephone_number": "814-931-1587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 VALLEY VIEW BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166026410",
"telephone_number": "814-205-1404",
"fax_number": "814-201-2021"
}
],
"practiceLocations": [
{
"address_1": "1798 Pleasant Valley Blvd",
"address_purpose": "LOCATION",
"city": "Duncansville",
"state": "PA",
"postal_code": "16635",
"country_code": "US",
"telephone_number": "814-696-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAPPELLA",
"first_name": "KYLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL016506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.