Active NPI
Kate Crimmins, MS, CF-SLP
- Speech-Language Pathologist
- Portland, OR
National Provider Identifier
1366094377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speechworks LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Speechworks LLC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Lake Oswego, OR
- NPI 1922746619
-
- Speech-Language Pathologist
- Bellevue, WA
- NPI 1073477295
-
- Speech-Language Pathologist
- Portland, OR
- NPI 1124469325
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.