Active NPI
Karen Anne Crisp, MS CCC-SLP
- Speech-Language Pathologist
- California City, CA
National Provider Identifier
1740864966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 19401
- Practice address
- 8648 Lupine Loop Dr Apt 3
California City, CA 93505-2048 - Phone
- (661) 675-6366
- NPI assigned
- May 12, 2021
- 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 | 19401 | CA | Primary |
Addresses
Primary practice location
8648 Lupine Loop Dr Apt 3
California City, CA 93505-2048
Mailing address
8648 Lupine Loop Dr Apt 3
California City, CA 93505-2048
Phone (661) 675-6366
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14035142 | Other | CA | ASHA MEMBER NUMBER |
| 19401 | Other | CA | DCA |
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": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1740864966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8648 LUPINE LOOP DR APT 3",
"city": "CALIFORNIA CITY",
"state": "CA",
"postal_code": "935052048",
"telephone_number": "661-675-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8648 LUPINE LOOP DR APT 3",
"city": "CALIFORNIA CITY",
"state": "CA",
"postal_code": "935052048",
"telephone_number": "661-675-6366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISP",
"first_name": "KAREN",
"middle_name": "ANNE",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "19401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA MEMBER NUMBER",
"identifier": "14035142",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DCA",
"identifier": "19401",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in California City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.