Individual provider Active NPI

Kay Czap Yudson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Arlington, VA
National Provider Identifier
1699979963
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202001022 Issued in VA
Practice address
611 25TH St S
Arlington, VA 22202-2529
Phone
(703) 684-5471
Fax
(703) 684-5471
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202001022 VA Primary

Addresses

Primary practice location

611 25TH St S
Arlington, VA 22202-2529

Mailing address

611 South 25TH Street
Arlington, VA 22202-2529
Phone (703) 684-5471

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2202001022VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699979963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SOUTH 25TH STREET",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222022529",
            "telephone_number": "703-684-5471",
            "fax_number": "703-684-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 25TH ST S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222022529",
            "telephone_number": "703-684-5471",
            "fax_number": "703-684-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUDSON",
        "first_name": "KAY",
        "middle_name": "CZAP",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202001022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.