Kristen Elizabeth Bailey, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60609847 Issued in WA

Practice address

708 Broadway Ste 160
Tacoma, WA 98402-3778

Phone

(253) 229-3385

Fax

(253) 276-3947

NPI assigned

Jul 27, 2015

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

Other names 1

• Miss Kristen Elizabeth Aviles 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

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1326423757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 BROADWAY STE 160",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023778",
            "telephone_number": "253-534-5665",
            "fax_number": "253-276-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 BROADWAY STE 160",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023778",
            "telephone_number": "253-229-3385",
            "fax_number": "253-276-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60609847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942743695",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "AVILES",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "M.A., SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Bailey, MD
• Gretchen Lenore Bailey, LMP
• Joseph Bailey, PA-C
• Kathryn Bailey, MD
• Kristen Bailey
• Rebecca Jo Bailey, MSW, LICSW
• Sean Bailey
• Shanika S Bailey
• Tanisa Antonette Bailey, LMHC
• Tymi Jean Bailey, BCBA

• Speech-Language Pathologist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.