Individual provider Active NPI

Kendall Krebs

  • Speech-Language Pathologist
  • Mount Carmel, PA
National Provider Identifier
1942065057
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL017105 Issued in PA
Practice address
2616 Locust Gap Hwy
Mount Carmel, PA 17851-1881
Phone
(570) 259-5490
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL017105 PA Primary

Addresses

Primary practice location

2616 Locust Gap Hwy
Mount Carmel, PA 17851-1881

Mailing address

61 Highview Dr
Coal Township, PA 17866-9701
Phone (570) 259-5490

Other practice location 1

61 Highview Dr
Coal Township, PA 17866-9701
Phone (570) 259-5490

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
SL017105PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1942065057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 HIGHVIEW DR",
            "city": "COAL TOWNSHIP",
            "state": "PA",
            "postal_code": "178669701",
            "telephone_number": "570-259-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 LOCUST GAP HWY",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178511881",
            "telephone_number": "570-259-5490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 Highview Dr",
            "address_purpose": "LOCATION",
            "city": "Coal Township",
            "state": "PA",
            "postal_code": "178669701",
            "country_code": "US",
            "telephone_number": "570-259-5490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREBS",
        "first_name": "KENDALL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL017105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Carmel, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.