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Crystal Eleanor-Bodmer Kuld , MS, CCC-SLP

Speech-Language Pathologist β€’ Vallejo, CA

Active NPI 1699505792 Individual Practitioner Female Practitioner
Practice location in NPPES

665 Walnut Ave
Vallejo, CA 945921177

Call 7075568921 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

665 Walnut Ave

Vallejo, CA 945921177

Telephone 7075568921
Organization at the Same NPPES Address or Phone
Vallejo City Unified School District Facility NPI 1447386925

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Vallejo and California

45 active clinicians are listed under Speech-Language Pathologist with a practice address in Vallejo, CA (13,149 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Vallejo

0% of these 45 clinicians have the CMS telehealth indicator.

2.2% of these 45 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-16
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES CA 26963

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Summer Moss

Physical Therapist

NPI 1508489774

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 16, 2026

Registered at 665 WALNUT AVE, VALLEJO, CA 945921177 (Tel: 7075568921)

πŸ“
Updated Business Mailing Address July 16, 2026

Registered at 421 W CARLOS ST, ALTURAS, CA 961013825 (Tel: 5628962574)

πŸ‘€
Provider Name / Credentials Updated July 16, 2026

Recorded as CRYSTAL KULD, M.S., CCC-SLP

βœ…
NPI Profile Active August 05, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 05, 2024

Registered at 1065 BUCKS LAKE RD, QUINCY, CA 959719507 (Tel: 5302832121)

πŸ“
Business Mailing Address (Initial Record) August 05, 2024

Registered at PO BOX 1222, QUINCY, CA 959711222 (Tel: 5628962574)

πŸ‘€
Provider Name / Credentials (Initial Record) August 05, 2024

Recorded as CRYSTAL KULD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2024

Speech-Language Pathologist (license number reported to NPPES: CA 26963)

🟒
Initial NPI Registration & Enumeration August 05, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699505792
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2024
Last Update: July 16, 2026
Sole Proprietor: No

Mailing Address

421 W Carlos St

Alturas, CA 961013825

Phone: 5628962574

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.