Caitlin Nicole Krensavage, M.S CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL011148 Issued in PA

Practice address

5760 Aspen LN
Enola, PA 17025-3305

Phone

(814) 657-2579

NPI assigned

Jan 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1093355976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 ASPEN LN",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170253305",
            "telephone_number": "814-657-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 ASPEN LN",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170253305",
            "telephone_number": "814-657-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENSAVAGE",
        "first_name": "CAITLIN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Caitlindewoody@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "5760 Aspen Ln",
            "city": "Enola",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170253305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Madison Taylor Kolakowski, MS
• Svetlana Igorevna Kriegel, M.D.
• Ashley Marie Kunkle, PA-C
• Brianna Latovich, CNM
• Lawall at Hershey, Inc
• Michael C Lescallette, DPT

• Speech-Language Pathologist in Enola, PA
• Providers in Enola, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.