MRS. KARYN ANN LONGSTREET (M.S. CCC-SLP) – Speech-Language Pathologist, NPI 1477636074

MRS. KARYN ANN LONGSTREET (M.S. CCC-SLP) is a healthcare provider. based in Cheyenne, Wyoming. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.S. CCC-SLP. They hold a License No. SP-311 (WY). The NPI Number for MRS. KARYN ANN LONGSTREET (M.S. CCC-SLP) is 1477636074

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KARYN ANN LONGSTREET (M.S. CCC-SLP)
NPI
1477636074
Phone
(307) 638-9769
Address
523 W 27TH ST
Enumeration Date
24 October 2006
Last Update Date
17 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3076389769
Graduation Year
1998 (28 years ago)
PAC ID
6002962933
Professional Enrollment ID
I20090918000084
Address ID
WY820013068CH523XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

27 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in WY

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Provider Addresses for MRS. KARYN ANN LONGSTREET (M.S. CCC-SLP)

  • 523, West 27th Street, Cheyenne, Laramie County, Wyoming, 82001, United States

    CHEYENNE, WY 820013068

    Phone: (307) 638-9769

    Fax: (307) 632-3481

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090918000084IQualified Speech Language PathologistWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82001)

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Reviews

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Frequently asked questions

How is MRS. KARYN ANN LONGSTREET (M.S. CCC-SLP) identified in CMS data?
CMS-hosted NPPES data lists MRS. KARYN ANN LONGSTREET (M.S. CCC-SLP) with NPI 1477636074.
Does the file indicate MRS. KARYN ANN LONGSTREET (M.S. CCC-SLP) is practicing under active NPI?
Directory data currently reports MRS. KARYN ANN LONGSTREET (M.S. CCC-SLP) as active.
What is MRS. KARYN ANN LONGSTREET (M.S. CCC-SLP) best known for clinically?
Directory data describes MRS. KARYN ANN LONGSTREET (M.S. CCC-SLP) with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where is MRS. KARYN ANN LONGSTREET (M.S. CCC-SLP) based?
MRS. KARYN ANN LONGSTREET (M.S. CCC-SLP) is tied to Cheyenne, Wyoming in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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