Kassidy Cramblett, M.S.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3962 Issued in AR

Practice address

319 N Pine St
Little Rock, AR 72205-4215

Phone

(501) 447-5919

NPI assigned

Jan 8, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Rock School Districet

  • Local Education Agency (LEA)
  • Little Rock, AR
  • NPI 1922258904
  NPD (past)

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1265949689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HUNTINGTON RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272323",
            "telephone_number": "501-454-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N PINE ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054215",
            "telephone_number": "501-447-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMBLETT",
        "first_name": "KASSIDY",
        "name_prefix": "Mrs.",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "3962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221770721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micah Craig
• Thomas Jacob Craig
• Cora Crain, C.D.
• Emily Ruth Crain
• Megan Kathryn Crain, RD, LD
• Crane Counseling Services
• Aliene Crane, APRN
• Bryanah Crane, RN
• Hillary Crane
• Lindsay Oliver Crane, L.P.C.

• Speech-Language Pathologist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.