Abby Zoe Kraayeveld, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60158862 Issued in WA

Practice address

8221 NE Hazel Dell Ave
Vancouver, WA 98665-8153

Phone

(360) 903-0573

Fax

(360) 326-2202

NPI assigned

Dec 13, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Grassroots Therapy Solutions, PLLC

  • Hearing and Speech Clinic/Center
  • Ridgefield, WA
  • NPI 1245722123
  NPD Authorized official
• Vancouver School District

  • Local Education Agency (LEA)
  • Vancouver, WA
  • NPI 1013021971
  NPD (past)

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1699011007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 N 44TH AVE",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427839",
            "telephone_number": "360-903-0573",
            "fax_number": "360-326-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 NE HAZEL DELL AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658153",
            "telephone_number": "360-903-0573",
            "fax_number": "360-326-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAAYEVELD",
        "first_name": "ABBY",
        "middle_name": "ZOE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-13",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60158862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Kozaritz, DC
• Judith Ann Kozicki, ARNP
• Malgorzata I Kozinski, MD
• Adam Kozow Yamashita
• John Scott Kozy, D.C.
• Madeline Krager
• Colleen Joanne Kragness, BA, CDPII
• Nicholas Jeffrey Kraley
• Rene Kramer
• Sharlaina Carolyn Kramer, MPT

• Speech-Language Pathologist in Vancouver, WA
• Providers in Vancouver, 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 Jan 19, 2022; 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.