Cassidy Kramp
Individual provider Active NPI Speech-Language Pathologist · Elma, WA
NPI 1104663798 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1104663798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 61571694 (WA)
- Practice address
- 610 E Main St
Elma, WA 98541-9353 - Phone
- (360) 346-2298
- NPI assigned
- Jul 10, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61571694 | WA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 61571694 | WA | Yes |
Addresses
Primary practice location
610 E Main St
Elma, WA 98541-9353
Mailing address
610 E Main St
Elma, WA 98541-3001
NPI Registry JSON
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1104663798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 E MAIN ST",
"city": "ELMA",
"state": "WA",
"postal_code": "985413001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E MAIN ST",
"city": "ELMA",
"state": "WA",
"postal_code": "985419353",
"telephone_number": "360-346-2298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMP",
"first_name": "CASSIDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-10",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "61571694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elma, WA
- Deepinderjeet Kaur
- Christian R Koehler
- Joseph Hans Kohn
- Kolpak Counseling
- Stanley D Kolpak II
- Laboratory Corporation of America
- Katala Lach
- Belinda Viann Lear
- Lee & Hwang PLLC
- Kian Leggett
All providers in Elma, WA · Speech-Language Pathologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.