Individual provider Active NPI

Nancy Wright Kriebel, MA,CCC/SLP

  • Speech-Language Pathologist
  • Annapolis, MD
National Provider Identifier
1508011917
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
02871 Issued in MD
Practice address
1419 Forest Dr Ste 206
Annapolis, MD 21403-1473
Phone
(410) 280-9788
Fax
(410) 280-9790
NPI assigned
Nov 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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 02871 MD Primary

Addresses

Primary practice location

1419 Forest Dr Ste 206
Annapolis, MD 21403-1473

Mailing address

1419 Forest Dr Ste 206
Annapolis, MD 21403-1473
Phone (410) 280-9788

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
02871MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle Lynn Googe Speech-Language Pathologist Past 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": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1508011917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 FOREST DR STE 206",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031473",
            "telephone_number": "410-280-9788",
            "fax_number": "410-280-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 FOREST DR STE 206",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031473",
            "telephone_number": "410-280-9788",
            "fax_number": "410-280-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT KRIEBEL",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "MA,CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "02871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.