Active NPI
Kristen D Scheirman, MS, CCC-SLP
- Speech-Language Pathologist
- Fort Worth, TX
National Provider Identifier
1003648411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 106442
- Practice address
- 9316 Horsemanship Dr
Fort Worth, TX 76123-1567 - Phone
- (817) 703-3383
- NPI assigned
- Aug 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 106442 | TX | Primary |
Addresses
Primary practice location
9316 Horsemanship Dr
Fort Worth, TX 76123-1567
Mailing address
9316 Horsemanship Dr
Fort Worth, TX 76123-1567
Phone (817) 703-3383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34857 | CA | MD | Pharmacist |
| 106442 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Therapy Group LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
3389 Sheridan St
Hollywood, FL 33021
Phone (954) 247-8757
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": "1723593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1003648411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9316 HORSEMANSHIP DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761231567",
"telephone_number": "817-703-3383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9316 HORSEMANSHIP DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761231567",
"telephone_number": "817-703-3383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEIRMAN",
"first_name": "KRISTEN",
"middle_name": "D",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-14",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "106442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.