Individual provider Active NPI

Hailey Kuettner, M.A, CF-SLP

  • Speech-Language Pathologist
  • Tacoma, WA
National Provider Identifier
1134591332
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SI 60581141 Issued in WA
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

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20260608003822 WA Practitioner - Qualified Speech Language Pathologist 7113498338 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
SI 60581141WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Speech Pathology, PS Speech-Language Pathologist CurrentSince May 1, 2026 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.

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.

Verify at the official NPI Registry.