Individual provider Active NPI

Kaylin Carswell Safriet, MSCCC/SLP

  • Speech-Language Pathologist
  • Granite Falls, NC
National Provider Identifier
1073955720
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10482 Issued in NC
Practice address
4012 Hickory Blvd
Granite Falls, NC 28630-8372
Phone
(828) 212-0256
NPI assigned
Jul 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10482 NC Primary

Addresses

Primary practice location

4012 Hickory Blvd
Granite Falls, NC 28630-8372

Mailing address

4100 Deal Mill Rd
Granite Falls, NC 28630-7535
Phone (828) 292-1030

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

LicenseStateTypeSpecialty
10482NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Neurotherapy Services Speech-Language Pathologist PastSince Oct 13, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1073955720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 DEAL MILL RD",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286307535",
            "telephone_number": "828-292-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 HICKORY BLVD",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286308372",
            "telephone_number": "828-212-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFRIET",
        "first_name": "KAYLIN",
        "middle_name": "CARSWELL",
        "credential": "MSCCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Falls, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.