Active NPI
Krysta Llewellyn
- Speech-Language Pathologist
- Davenport, WA
National Provider Identifier
1740687839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 601 Washington St
Davenport, WA 99122-7007 - Phone
- (509) 725-1261
- Fax
- (509) 725-2780
- NPI assigned
- Dec 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
601 Washington St
Davenport, WA 99122-7007
Mailing address
601 Washington St
Davenport, WA 99122-7007
Phone (509) 725-1261
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1740687839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 WASHINGTON ST",
"city": "DAVENPORT",
"state": "WA",
"postal_code": "991227007",
"telephone_number": "509-725-1261",
"fax_number": "509-725-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 WASHINGTON ST",
"city": "DAVENPORT",
"state": "WA",
"postal_code": "991227007",
"telephone_number": "509-725-1261",
"fax_number": "509-725-2780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLEWELLYN",
"first_name": "KRYSTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-04",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davenport, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.