Active NPI
Hailey Kuettner, M.A, CF-SLP
- Speech-Language Pathologist
- Tacoma, WA
National Provider Identifier
1134591332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SI 60581141
- Practice address
- 602 N Sprague Ave
Tacoma, WA 98403-1035 - Phone
- (253) 571-7711
- NPI assigned
- Oct 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SI 60581141 | WA | Primary |
Addresses
Primary practice location
602 N Sprague Ave
Tacoma, WA 98403-1035
Mailing address
608 S 2ND St
Apt 3
Tacoma, WA 98405-4703
Phone (404) 303-6444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
104 Cross Arbor Dr
Simpsonville, SC 29681-5008
5202 Olympic Dr
Suite 100
Gig Harbor, WA 98335-1727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI 60581141 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Speech Pathology, PS | Speech-Language Pathologist | Current | Accepting new patients |
Locations
5202 Olympic Dr
Ste 100
Gig Harbor, WA 98335
Phone (253) 318-6665
9576 Ridgetop Blvd NW
Ste L101
Silverdale, WA 98383
Phone (360) 447-9120
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.
-
- Speech-Language Pathologist
- Gig Harbor, WA
- NPI 1780917062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1134591332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 S 2ND ST",
"address_2": "APT 3",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054703",
"telephone_number": "404-303-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 N SPRAGUE AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984031035",
"telephone_number": "253-571-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUETTNER",
"first_name": "HAILEY",
"name_prefix": "Ms.",
"credential": "M.A, CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-27",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "SI 60581141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.