Kaitlyn Anna Zaloga, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL013504 Issued in PA

Practice address

140 Main St
Luzerne, PA 18709-1273

Phone

(570) 362-2348

NPI assigned

Aug 16, 2021

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

Other names 1

• Kaitlyn Anna Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1649945148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MAIN ST",
            "city": "LUZERNE",
            "state": "PA",
            "postal_code": "187091273",
            "telephone_number": "570-362-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MAIN ST",
            "city": "LUZERNE",
            "state": "PA",
            "postal_code": "187091273",
            "telephone_number": "570-362-2348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "193 Lily Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Wapwallopen",
            "state": "PA",
            "postal_code": "186608834",
            "country_code": "US",
            "telephone_number": "570-751-8026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZALOGA",
        "first_name": "KAITLYN",
        "middle_name": "ANNA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL013504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "SMITH",
            "middle_name": "ANNA",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John D Wanyo, DC
• Tammy Lynn Warmouth, OD
• Yanik Family Wellness, L.L.C.
• Francis Jeremiah Yanik, DC
• Richard Alan Zachar
• Allison Zamerowski, CRNP

• All providers in Luzerne, PA
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.