Individual provider Active NPI

Kayla Lee Washa, MS CCC-SLP

  • Speech-Language Pathologist
  • Fort Collins, CO
National Provider Identifier
1164951638
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0002471 Issued in CO
Practice address
625 Flagler Rd
Fort Collins, CO 80525-7030
Phone
(308) 882-6376
NPI assigned
Jun 8, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 SLP.0002471 CO Primary

Addresses

Primary practice location

625 Flagler Rd
Fort Collins, CO 80525-7030

Mailing address

625 Flagler Rd
Fort Collins, CO 80525-7030
Phone (308) 882-6376

Other practice location 1

255 Urban Prairie St Unit A
Fort Collins, CO 80524-2111
Phone (308) 882-6376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP.0002471COMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164951638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 FLAGLER RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257030",
            "telephone_number": "308-882-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 FLAGLER RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257030",
            "telephone_number": "308-882-6376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Urban Prairie St Unit A",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805242111",
            "country_code": "US",
            "telephone_number": "308-882-6376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHA",
        "first_name": "KAYLA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0002471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.