Kathryn D Ryks, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

135582 Issued in AK

Practice address

1700 E Bogard Rd
Wasilla, AK 99654-6563

Phone

(907) 290-9595

Fax

(800) 645-2157

NPI assigned

Nov 25, 2024

Last updated

Nov 25, 2024By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• It's More Than Speech

  • Speech-Language Pathologist
  • Eagle River, AK
  • NPI 1003384611

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1952127870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E FAIRVIEW LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996540568",
            "telephone_number": "248-421-9042",
            "fax_number": "800-645-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546563",
            "telephone_number": "907-290-9595",
            "fax_number": "800-645-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYKS",
        "first_name": "KATHRYN",
        "middle_name": "D",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "135582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "135582",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nickolas Russell
• Tatyana Russkih, LMT
• Scott Ruta
• Stacey Ruta
• Makayla Ryan
• Kimberly Ryneski, CRT
• Morgan Ryneski, RN
• Kendall Sabin
• Dexter R Saddler
• Tammy L Saddler, D.C.

• Speech-Language Pathologist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.