Kailey Marie Falcon

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015775 Issued in OR

Practice address

1600 3Rd Ave
Longview, WA 98632-3231

Phone

(360) 425-9810

NPI assigned

Jun 20, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Progress Center,Inc

  • Speech-Language Pathologist
  • Longview, WA
  • NPI 1497809636
  NPD (past)

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1679093710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 3RD AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 3RD AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323231",
            "telephone_number": "360-425-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCON",
        "first_name": "KAILEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SLP.LL.60770092",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "015775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497809636",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Excell
• Kelly Anne Exner, M.A.
• John Leigh Ey, M.D.
• Eyemart Express LLC
• Amanda Fairbanks
• Lori F Falkel, P.T.
• Michael D Faloon, MD
• Family Chiropractic Care Back Pain Clinic PC
• Fammily Chiropractic Care
• Kathryn Fanchi

• Speech-Language Pathologist in Longview, WA
• Providers in Longview, WA by specialty
• Speech-Language Pathologist in Washington

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

Verify at the official NPI Registry.