Kristen Hardy, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15597 Issued in OR

Practice address

366 N Holly St
Canby, OR 97013-3739

Phone

(503) 266-1030

NPI assigned

Jul 10, 2019

Last updated

Feb 20, 2020By 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

Credentials

Master of Science

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.

• Sunbreak Therapy Services, Inc

  • Speech-Language Pathologist
  • Canby, OR
  • NPI 1497150247
  NPD (past)

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1740832732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29570 SW VILLEBOIS DR S",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707326",
            "telephone_number": "503-703-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 N HOLLY ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133739",
            "telephone_number": "503-266-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "KRISTEN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "15597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C. Steven Hagler, DMD
• Mark Joshua Hale
• Ayron Diane Haley, LMT
• Robin S Hansteen-Izora
• Lauren Hara, ND
• Lisa Harman, B.A.
• Karen Gaye Harris, DO
• Christine Marie Harrison-Beard, OTR/L
• Hartwell Chiropractic and Wellness Center P.C.
• Natasha Harwood, SLP

• Speech-Language Pathologist in Canby, OR
• Providers in Canby, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.