Individual provider Active NPI

Kristen D Scheirman, MS, CCC-SLP

  • Speech-Language Pathologist
  • Fort Worth, TX
National Provider Identifier
1003648411
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
106442 Issued in TX
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

Updated by the provider on Aug 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250806001886 CA Practitioner - Qualified Speech Language Pathologist 0840708186 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
34857CAMDPharmacist
106442TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Therapy Group LLC Speech-Language Pathologist CurrentSince May 24, 2025 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.

Verify at the official NPI Registry.