Active NPI
Kristen Ann Riley, CCC-SLP
- Speech-Language Pathologist
- Salem, OR
National Provider Identifier
1164879813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 17043
- Practice address
- 3333 Hidden Valley Dr NW
Salem, OR 97304-2322 - Phone
- (773) 580-8625
- NPI assigned
- May 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 32490 | CA | |
| Speech-Language Pathologist | 235Z00000X | 17043 | OR | Primary |
| Speech-Language Pathologist | 235Z00000X | 242003771 | IL |
Addresses
Primary practice location
3333 Hidden Valley Dr NW
Salem, OR 97304-2322
Mailing address
3333 Hidden Valley Dr NW
Salem, OR 97304-2322
Phone (773) 580-8625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1111 B S Governors Ave
Suite 3995
Dover, DE 19904-6903
461 2ND St
Apt C309
San Francisco, CA 94107-1449
489 Sanchez St
San Francisco, CA 94114-2056
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32490 | CA | MD | Psychologist |
| 242003771 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hona Medical Group of California PC | Speech-Language Pathologist | Current | Accepting new patients |
| Childrens Care Translation Center 2 Inc | Speech-Language Pathologist | Past | Accepting new patients |
Locations
95 3rd St
San Francisco, CA 94103
Phone (414) 640-9090
Organizations & group practices 2
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
- San Francisco, CA
- NPI 1841036241
-
- Interpreter
- Berwyn, IL
- NPI 1851757181
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725062400000",
"number": "1164879813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 HIDDEN VALLEY DR NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973042322",
"telephone_number": "773-580-8625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 HIDDEN VALLEY DR NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973042322",
"telephone_number": "773-580-8625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "KRISTEN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-23",
"last_updated": "2024-08-31",
"certification_date": "2024-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "32490",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "17043",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242003771",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; 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.