Kristen Kane, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016571 Issued in OR

Practice address

15 NW Park PL Ste 100
Bend, OR 97703-2977

Phone

(530) 524-5040

NPI assigned

Aug 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Churney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Central Oregon Speech and Language

  • Speech-Language Pathologist
  • Bend, OR
  • NPI 1407500333
  NPD Authorized official

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1194192963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 NW PARK PL STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032977",
            "telephone_number": "530-524-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 NW PARK PL STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032977",
            "telephone_number": "530-524-5040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5123 Drum Rd W",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984674549",
            "country_code": "US",
            "telephone_number": "530-524-5040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANE",
        "first_name": "KRISTEN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "016571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "CHURNEY",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle Kaltwasser
• Shinjiro Charles Kamaya, M.D.
• Kristen Kampstra
• Lindsay Kandra, LPC
• David Henach Kane, M.D.
• Hyung-Chil Kang, M.D.
• Adam Spencer Kaplan, PA-C
• Beau H Kapp, DMD
• Hannah Kappus, QMHP
• Kara Kelly, LLC

• Speech-Language Pathologist in Bend, OR
• Providers in Bend, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.