Kailyn R. Stewart

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL011253 Issued in PA

Practice address

400 E 2ND St
Centennial Hall
Bloomsburg, PA 17815-1301

Phone

(570) 389-5380

Fax

(570) 389-5022

NPI assigned

Sep 30, 2016

Last updated

Sep 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in PA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Husky Research Corporation IncGroup PAC ID 2062498967, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Husky Research Corporation Inc

  • Audiologist
  • Bloomsburg, PA
  • NPI 1518040179
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1750830881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1388",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040379",
            "telephone_number": "570-288-8881",
            "fax_number": "570-288-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 2ND ST",
            "address_2": "CENTENNIAL HALL",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151301",
            "telephone_number": "570-389-5380",
            "fax_number": "570-389-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KAILYN",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Stauffer, PTA
• Lara L Stellwag, CNM
• Maryjo A Stemrich, LPC.
• Suzanne M Stepanski, M.D.
• Gkara M Stewart
• Samantha Regina Stobodzian, RPH
• Corrine Stojakovich
• Siobhan Bross Stoltzfus, CRNP, AANP
• Kaitlyn Stover
• Strategic Counseling, LLC

• Speech-Language Pathologist in Bloomsburg, PA
• Providers in Bloomsburg, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.