Kaylee Walter-Friede, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

32 Campus Drive
Missoula, MT 59802

Phone

(360) 509-4837

NPI assigned

Jun 8, 2020

Last updated

Sep 2, 2022By 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)

Enrolled

Credentials

Master of Science

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.

• University of Montana

  dba University of Montana Physical Therapy Clinic

  • Physical Therapist
  • Missoula, MT
  • NPI 1578585592
  NPD (past)

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1710501515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CAMPUS DR",
            "address_2": "SKAGGS BLDG #129",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598120003",
            "telephone_number": "406-243-2405",
            "fax_number": "406-243-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CAMPUS DRIVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59802",
            "telephone_number": "360-509-4837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024905",
            "country_code": "US",
            "telephone_number": "360-509-4837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTER-FRIEDE",
        "first_name": "KAYLEE",
        "credential": "CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Stores, Inc (Vision Center 30-2147)
• Kelsey Walnum
• Jeffrey D Walrod
• Jennifer Walrod, LCSW
• Reegan Rakel Walsh, ATC
• Sarah Walter
• Kelsey Taylor Walton, MD
• Jennifer Anne Waltz, PH.D.
• Colby Lowel Wang, M.D.
• Ashley Ward, MD

• Speech-Language Pathologist in Missoula, MT
• Providers in Missoula, MT by specialty
• Speech-Language Pathologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.