Kaytlynn Diane Thompson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2025036319 Issued in MO

Practice address

138 Alisha Ave
Poplar Bluff, MO 63901-8385

Phone

(573) 429-9719

NPI assigned

May 27, 2026

Last updated

May 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1598696718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 ALISHA AVE",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639018385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 ALISHA AVE",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639018385",
            "telephone_number": "573-429-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KAYTLYNN",
        "middle_name": "DIANE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2025036319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxine A Theriot, MD
• Alyssa Michelle Thompson
• Cassey Thompson
• David Thomas Thompson
• Jordan Kyle Thompson
• Kierra Thornton
• Sushmita Thota, MD
• Sally Elizabeth Thurman
• Abby Tibbs
• Lucas W Tibbs, DO

• Speech-Language Pathologist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.