Kiattipoom Nantanukul

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2204000843 Issued in VA

Practice address

680 Rhode Island Ave NE
Washington, DC 20002-1269

Phone

(857) 296-2354

NPI assigned

Oct 12, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1447912829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 RHODE ISLAND AVE NE APT 159B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021478",
            "telephone_number": "857-296-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 RHODE ISLAND AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021269",
            "telephone_number": "857-296-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANTANUKUL",
        "first_name": "KIATTIPOOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rooma Nankani
• Marie Nankap
• Vanessa Carelle Nankong Tchiwouo
• Idah Nansamba
• Ruth Nantalaga
• Veronica Leah Nanteza
• Alison Naoussi
• Napnook, LLC
• Gernide Napoleon
• Melissa Napoleon

• Speech-Language Pathologist in Washington, DC
• Providers in Washington, DC by specialty
• Speech-Language Pathologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.