Individual provider Active NPI

Kristen Lynn Khouri, CF-SLP, TSSLD

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1699443200
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
032216-01 Issued in NY
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

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
032216-01NYMDSpeech-Language Pathologist
3018212NYMDStudent 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.

Verify at the official NPI Registry.