Individual provider Active NPI

Kate Crimmins, MS, CF-SLP

  • Speech-Language Pathologist
  • Portland, OR
National Provider Identifier
1366094377
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
17020 SW Upper Boones Ferry Rd Ste 201
Portland, OR 97224-7078
Phone
(503) 894-1539
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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 Primary

Addresses

Primary practice location

17020 SW Upper Boones Ferry Rd Ste 201
Portland, OR 97224-7078

Mailing address

1475 SE 14TH Ave Apt 413
Portland, OR 97214-4597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107002814 OR Practitioner - Qualified Speech Language Pathologist 4183071525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Boston University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Speechworks LLCGroup PAC ID 2668836065, 8 clinicians

Practice addresses (Care Compare)

15962 Boones Ferry Rd
Suite 204
Lake Oswego, OR 97035-4360
Phone (971) 346-0355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Speechworks LLC Speech-Language Pathologist CurrentSince Jun 8, 2026 Accepting new patients
Speechworks LLC Speech-Language Pathologist CurrentSince Jun 8, 2026 Accepting new patients
Parkwood Clinic LLC Speech-Language Pathologist Past Accepting new patients

Locations

15630 Boones Ferry Rd
Ste 6
Lake Oswego, OR 97035
Phone (971) 346-0355

1603 116th Ave NE
Ste 118
Bellevue, WA 98004
Phone (425) 699-5480

Organizations & group practices 3

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1366094377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 SE 14TH AVE APT 413",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17020 SW UPPER BOONES FERRY RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247078",
            "telephone_number": "503-894-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIMMINS",
        "first_name": "KATE",
        "credential": "MS, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.