Individual provider Active NPI

Kylee Beth Youmans, MA, CCC-SLP

  • Speech-Language Pathologist
  • Rochester, MA
National Provider Identifier
1255902425
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8115 Issued in MA
Practice address
31 Hiller Rd
Rochester, MA 02770-4024
Phone
(774) 454-1994
Fax
(508) 273-2353
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 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 8115 MA Primary

Addresses

Primary practice location

31 Hiller Rd
Rochester, MA 02770-4024

Mailing address

464 Raymond Rd
Plymouth, MA 02360-6877
Phone (860) 978-0132

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 Arts

State licenses

LicenseStateTypeSpecialty
8115MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway ABA Therapy LLC CurrentSince Aug 7, 2022 Accepting new patients

Locations

53 Marion Rd
Unit 2
Wareham, MA 02571
Phone (774) 454-1994

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": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1255902425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 RAYMOND RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023606877",
            "telephone_number": "860-978-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HILLER RD",
            "city": "ROCHESTER",
            "state": "MA",
            "postal_code": "027704024",
            "telephone_number": "774-454-1994",
            "fax_number": "508-273-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUMANS",
        "first_name": "KYLEE",
        "middle_name": "BETH",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "8115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.