Active NPI
Kaleigh Richelle Crabtree, M.S., CFY-SLP
- Speech-Language Pathologist
- Fayetteville, AR
National Provider Identifier
1740697168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 587 E. Prospect St.
Fayetteville, AR 72701 - Phone
- (913) 226-8353
- NPI assigned
- Jul 17, 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
587 E. Prospect St.
Fayetteville, AR 72701
Mailing address
587 E. Prospect St.
Fayetteville, AR 72701
Phone (913) 226-8353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203034721 | Medicaid | AR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1740697168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "587 E. PROSPECT ST.",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72701",
"telephone_number": "913-226-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "587 E. PROSPECT ST.",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72701",
"telephone_number": "913-226-8353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABTREE",
"first_name": "KALEIGH",
"middle_name": "RICHELLE",
"name_prefix": "Mrs.",
"credential": "M.S., CFY-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-17",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203034721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.