Active NPI
Suzanne Kesterson, M.A., CCC-SLP
- Speech-Language Pathologist
- Albany, OR
National Provider Identifier
1063636363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11875
- Practice address
- 1005 Springhill Dr NE
Albany, OR 97321-1748 - Phone
- (541) 967-4518
- Fax
- (541) 924-3785
- NPI assigned
- Apr 11, 2007
- 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 | 11875 | OR | Primary |
Addresses
Primary practice location
1005 Springhill Dr NE
Albany, OR 97321-1748
Mailing address
1005 Springhill Dr NE
Albany, OR 97321-1748
Phone (541) 967-4518
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11875 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1063636363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 SPRINGHILL DR NE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973211748",
"telephone_number": "541-967-4518",
"fax_number": "541-924-3785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 SPRINGHILL DR NE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973211748",
"telephone_number": "541-967-4518",
"fax_number": "541-924-3785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESTERSON",
"first_name": "SUZANNE",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "11875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.