Active NPI
Kristen Lynn Khouri, CF-SLP, TSSLD
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1699443200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 032216-01
- Practice address
- 575 8TH Ave FL 6
New York, NY 10018-3158 - Phone
- (917) 286-5260
- NPI assigned
- Aug 31, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 3018212 | NY | |
| Speech-Language Pathologist | 235Z00000X | 032216-01 | NY | Primary |
Addresses
Primary practice location
575 8TH Ave FL 6
New York, NY 10018-3158
Mailing address
166 E 34TH St Apt 9K
New York, NY 10016-4720
Phone (914) 400-8886
Other practice location 1
622 3rd Ave Fl 7
New York, NY 10017-6723
Phone (212) 634-2803
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032216-01 | NY | MD | Speech-Language Pathologist |
| 3018212 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1699443200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 E 34TH ST APT 9K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164720",
"telephone_number": "914-400-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 8TH AVE FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100183158",
"telephone_number": "917-286-5260"
}
],
"practiceLocations": [
{
"address_1": "622 3rd Ave Fl 7",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100176723",
"country_code": "US",
"telephone_number": "212-634-2803",
"fax_number": "646-650-5963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHOURI",
"first_name": "KRISTEN",
"middle_name": "LYNN",
"credential": "CF-SLP, TSSLD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "3018212",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "032216-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.