Kaitlin Crum, M.C.D. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12124361 Issued in LA

Practice address

1011 N Causeway Blvd
Mandeville, LA 70471-3243

Phone

(985) 626-8403

NPI assigned

May 13, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1235540204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 BEAU CHENE DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711637",
            "telephone_number": "225-362-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713243",
            "telephone_number": "985-626-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUM",
        "first_name": "KAITLIN",
        "name_prefix": "Mrs.",
        "credential": "M.C.D. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "12124361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyffanie Michele Crawford, OT
• Kaylea Jalane Creel
• Jeffrey Paul Cresson, DPT
• Christon Crowley, BSW
• Michelle Pittman Crowley, LMSW
• Jordan Stratton Cruz, FNP-C
• Stephanie F Cunningham, RN
• Timothy Earl Cunningham, D.C.
• Elise Curry, RN
• Cynthia H. Deblanc

• Speech-Language Pathologist in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.