Individual provider Active NPI

Kristen Raye Summers, M. A., CFY-SLP

  • Speech-Language Pathologist
  • Cambridge, OH
National Provider Identifier
1609544089
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
20211838 Issued in OH
Practice address
518 S 8TH St
Cambridge, OH 43725-2767
Phone
(740) 439-5021
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 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 20211838 OH Primary

Addresses

Primary practice location

518 S 8TH St
Cambridge, OH 43725-2767

Mailing address

518 S 8TH St
Cambridge, OH 43725-2767
Phone (740) 439-5021

Other practice location 1

1400 Deerpath Dr
Cambridge, OH 43725-9098
Phone (740) 435-1140

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
20211838OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge City School District CurrentSince Mar 12, 2024 Accepting new patients

Locations

518 S 8th St
Cambridge, OH 43725
Phone (740) 439-4007

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1609544089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 S 8TH ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252767",
            "telephone_number": "740-439-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 S 8TH ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252767",
            "telephone_number": "740-439-5021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Deerpath Dr",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437259098",
            "country_code": "US",
            "telephone_number": "740-435-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "KRISTEN",
        "middle_name": "RAYE",
        "credential": "M. A., CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "20211838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.