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

LicenseStateTypeSpecialty
61571694WAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 24, 2026.

{
    "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

All providers in Elma, WA · Speech-Language Pathologist in Washington

Sources for this page

Verify at the official NPI Registry.