Keystone Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

KEYSTONE SPEECH THERAPY LLC

Practice address

18520 NE 109TH Ave
Battle Ground, WA 98604-9462

Phone

(909) 557-3782

NPI assigned

Dec 20, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Kristine Ignacio Caraig Sissons, MS, CCC-SLPNPI 1144775933

Title

Speech-Language Pathologist

Phone

(909) 557-3782

Specialties & licenses 1

Addresses

Other names 1

• Keystone Speech Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristine Ignacio Caraig Sissons

  • Speech-Language Pathologist
  • Battle Ground, WA
  • NPI 1144775933
  NPD Authorized official

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1124788948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18520 NE 109TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986049462",
            "telephone_number": "909-557-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18520 NE 109TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986049462",
            "telephone_number": "909-557-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "SISSONS",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "IGNACIO CARAIG",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "909-557-3782",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tricia Karvonen, RN
• Kalpana Prabuddhika Katudeniya, D.O.
• Thomas Keith, P.T,
• Belinda Alice Kellough, LMP
• Holli Joanne Ketvirtis
• Senait Tesfahuney Kibreab, HCA
• Seong Kim, DMD
• Michelle Elizabeth King, RN
• Tina King
• Brian James Kitzerow, DPT

• Speech-Language Pathologist in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.