Joanna Kishpaugh

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10757 Issued in OR

Practice address

2783 Ridgeway Dr SE
Turner, OR 97392-9370

Phone

(541) 913-4740

Fax

(503) 581-8906

NPI assigned

Aug 8, 2016

Sex

Female

Sole proprietor

No

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.

• Chatterboks Speech Therapy PC

  • Speech-Language Pathologist
  • Turner, OR
  • NPI 1861741928
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2016.

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1609320704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 RIDGEWAY DR SE",
            "city": "TURNER",
            "state": "OR",
            "postal_code": "973929370",
            "telephone_number": "541-913-4740",
            "fax_number": "503-581-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2783 RIDGEWAY DR SE",
            "city": "TURNER",
            "state": "OR",
            "postal_code": "973929370",
            "telephone_number": "541-913-4740",
            "fax_number": "503-581-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHPAUGH",
        "first_name": "JOANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "10757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY",
            "identifier": "10757",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION",
            "identifier": "01035967",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcia Dyk
• Mary C Ficken, OTR/L
• Lauren Fojaco, SLP
• Front Porch Counseling LLC
• Horses of Hope Oregon
• Aaron Kline
• Karah Leann Mason
• Rachelle Alaine McCloud, MSW, CSWA, TFT-ALG
• Dawn Rae McDermott, BSN, RN, IBCLC
• Rena C McGrath, LPC

• All providers in Turner, OR
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.