Kayla Felice Rastgoo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL61335536 Issued in WA

Practice address

12727 Northup Way Ste 1
Bellevue, WA 98005-1917

Phone

(425) 533-5402

NPI assigned

Nov 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Smalltalk Speech & Language Therapy, Inc

  • Speech-Language Pathologist
  • Bellevue, WA
  • NPI 1730802257
  NPD
• Wonderland Developmental Center

  • Speech-Language Pathologist
  • Shoreline, WA
  • NPI 1982779948
  NPD (past)

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1538877618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 WOODLAND PARK AVE N APT 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037459",
            "telephone_number": "562-714-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 NORTHUP WAY STE 1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051917",
            "telephone_number": "425-533-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTGOO",
        "first_name": "KAYLA",
        "middle_name": "FELICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61335536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kayla@smalltalkpediatric.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12727 Northup Way Ste 1",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980051917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel S Raskind, MD
• Jaime Lee Rasmussen, LMFT
• Patricia Ellen Rasmussen, MC
• Shane Rasmussen, PTA
• Patricia Lynn Rasske, MS, LMHC
• Pooja Rastogi
• Steven S Ratcliffe, M.D.
• Inimai Rathinavel, M.D.
• Worawan Rattanasamphan, MD
• Khushbu Raval, RDH BS

• Speech-Language Pathologist in Bellevue, WA
• Providers in Bellevue, 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 8, 2022; 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.