Individual provider Active NPI

Kaitlin Marie Craffey, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Dover, DE
National Provider Identifier
1386086676
Registry record updated Jul 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01-0001300 Issued in DE
Practice address
107 Dyke Branch Rd
Dover, DE 19901-1553
Phone
(412) 337-4745
NPI assigned
Jul 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2013

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 01-0001300 DE Primary

Addresses

Primary practice location

107 Dyke Branch Rd
Dover, DE 19901-1553

Mailing address

107 Dyke Branch Rd
Dover, DE 19901-1553
Phone (412) 337-4745

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
01-0001300DEMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1374883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374883200000",
    "number": "1386086676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 DYKE BRANCH RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199011553",
            "telephone_number": "412-337-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DYKE BRANCH RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199011553",
            "telephone_number": "412-337-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFFEY",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-27",
        "last_updated": "2013-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "01-0001300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2013; 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.