Individual provider Active NPI

Kristen West, SPEECH PATHOLOGIST

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1982007811
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-2702 Issued in NV
Practice address
888 W Bonneville Ave
Las Vegas, NV 89106-0100
Phone
(702) 483-6032
NPI assigned
Oct 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 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 12969 CA
Speech-Language Pathologist 235Z00000X SP-2702 NV Primary

Addresses

Primary practice location

888 W Bonneville Ave
Las Vegas, NV 89106-0100

Mailing address

PO Box 362
Lake Havasu City, AZ 86405-0362
Phone (559) 349-1692

Other practice location 1

30878 Seminole Rd
Tollhouse, CA 93667-9752
Phone (559) 855-5992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230404001944 NV Practitioner - Other (Non-Physician) 7315312386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Clinic NevadaGroup PAC ID 9537219431, 31 clinicians

Practice addresses (Care Compare)

888 W Bonneville Ave
Las Vegas, NV 89106-0100
Phone (702) 483-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP-2702NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Nevada CurrentSince Dec 16, 2022 Accepting new patients

Locations

888 W Bonneville Ave
Las Vegas, NV 89106
Phone (702) 263-9797

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": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1982007811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864050362",
            "telephone_number": "559-349-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 W BONNEVILLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891060100",
            "telephone_number": "702-483-6032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30878 Seminole Rd",
            "address_purpose": "LOCATION",
            "city": "Tollhouse",
            "state": "CA",
            "postal_code": "936679752",
            "country_code": "US",
            "telephone_number": "559-855-5992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "KRISTEN",
        "name_prefix": "Ms.",
        "credential": "SPEECH PATHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "12969",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.