Kristina Mustacich, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL 60490718 Issued in WA

Practice address

2500 NE 65TH Ave
Vancouver, WA 98661-6812

Phone

(360) 750-7500

NPI assigned

Nov 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1518364256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6474 SPERRY RD",
            "city": "MOUNT HOOD PARKDALE",
            "state": "OR",
            "postal_code": "970417640",
            "telephone_number": "503-780-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NE 65TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616812",
            "telephone_number": "360-750-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTACICH",
        "first_name": "KRISTINA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 60490718",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "15299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Son Murry, LSWAIC
• Mikel Elizabeth Muse, DO
• Douglas S. Musgrave, M.D.
• Wael Yacoub Musleh, MD., PH.D.
• Christy Lynn Musser, CCC-SLP
• Dania Mustafa
• Julee A Mutch, C.D.P.
• Natalia Sayuri Muto, MD
• Mybestbehavior, LLC
• Carrie Lynne Myers-Cleary, ARNP

• Speech-Language Pathologist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.