Individual provider Active NPI

Kylie Elizabeth Danfelt

  • Speech-Language Pathologist
  • York, PA
National Provider Identifier
1891345252
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL015453 Issued in PA
Practice address
1733 San Gabriel Dr
York, PA 17406-1814
Phone
(717) 880-7131
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 09449 MD
Speech-Language Pathologist 235Z00000X SL015453 PA Primary

Addresses

Primary practice location

1733 San Gabriel Dr
York, PA 17406-1814

Mailing address

1733 San Gabriel Dr
York, PA 17406-1814
Phone (717) 880-7131

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

State licenses

LicenseStateTypeSpecialty
09449MDMDOccupational Therapist
SL015453PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
K. Danfelt LLC Dba Berry Sweet Speech & Language Speech-Language Pathologist CurrentSince Sep 5, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1891345252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 SAN GABRIEL DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174061814",
            "telephone_number": "717-880-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 SAN GABRIEL DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174061814",
            "telephone_number": "717-880-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANFELT",
        "first_name": "KYLIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09449",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.