Kayla Jane Crist

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

ST4117 Issued in ME

Practice address

42 Barrows Dr
Topsham, ME 04086-1326

Phone

(207) 725-1243

NPI assigned

Sep 19, 2024

Last updated

Sep 19, 2024By the provider in NPPES

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Msad 75

  • Local Education Agency (LEA)
  • Topsham, ME
  • NPI 1104120948
  NPD (past)

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1699502872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 MIDDLESEX RD # A",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861563",
            "telephone_number": "217-919-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BARROWS DR",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861326",
            "telephone_number": "207-725-1243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Harpswell Islands Rd",
            "address_purpose": "LOCATION",
            "city": "Harpswell",
            "state": "ME",
            "postal_code": "040793799",
            "country_code": "US",
            "telephone_number": "207-729-5177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIST",
        "first_name": "KAYLA",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "ST4117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Topsham, ME
• Providers in Topsham, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.