Active NPI
Keleigh Kreilkamp, SLP
- Speech-Language Pathologist
- Spokane Valley, WA
National Provider Identifier
1639618978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60711527
- Practice address
- 325 S University Rd
Spokane Valley, WA 99206-6164 - Phone
- (509) 921-9798
- Fax
- (509) 921-9774
- NPI assigned
- Feb 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL60711527 | WA | Primary |
Addresses
Primary practice location
325 S University Rd
Spokane Valley, WA 99206-6164
Mailing address
325 S University Rd
Spokane Valley, WA 99206-6164
Phone (509) 921-9798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235Z00000X | Medicaid | WA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL60711527 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youthful Horizons Physical Therapy P S | Past | Accepting new patients |
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.
-
- Physical Therapist
- Spokane Valley, WA
- NPI 1699823898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1639618978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 S UNIVERSITY RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992066164",
"telephone_number": "509-921-9798",
"fax_number": "509-921-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 S UNIVERSITY RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992066164",
"telephone_number": "509-921-9798",
"fax_number": "509-921-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREILKAMP",
"first_name": "KELEIGH",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-20",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60711527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "235Z00000X",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.