Individual provider Active NPI

Kassandra F Kleymann, CCC-SLP

  • Speech-Language Pathologist
  • Woodland Park, CO
National Provider Identifier
1437920154
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
24371347 Issued in CO
Practice address
155 Panther Way
Woodland Park, CO 80863-3165
Phone
(785) 650-9738
NPI assigned
Jan 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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 24371347 CO Primary

Addresses

Primary practice location

155 Panther Way
Woodland Park, CO 80863-3165

Mailing address

155 Panther Way
Woodland Park, CO 80863-3165
Phone (785) 650-9738

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24371347COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodland Park School District Re2 PastSince Jan 14, 2024 Accepting new patients

Organizations & group practices 1

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": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1437920154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 PANTHER WAY",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633165",
            "telephone_number": "785-650-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PANTHER WAY",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633165",
            "telephone_number": "785-650-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEYMANN",
        "first_name": "KASSANDRA",
        "middle_name": "F",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "24371347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.