Active NPI
Jeannette Louise Krizner, MS,CCC-SLP
- Speech-Language Pathologist
- Morgantown, WV
National Provider Identifier
1003957366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-0814
- Practice address
- 1160 Van Voorhis Rd
Morgantown, WV 26505-3437 - Phone
- (304) 598-1100
- Fax
- (304) 285-1066
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 | SLP-0814 | WV | Primary |
Addresses
Primary practice location
1160 Van Voorhis Rd
Morgantown, WV 26505-3437
Mailing address
230 Braddock Ave
Uniontown, PA 15401-4847
Phone (724) 880-6765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7402276000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-0814 | WV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003957366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 BRADDOCK AVE",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154014847",
"telephone_number": "724-880-6765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 VAN VOORHIS RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053437",
"telephone_number": "304-598-1100",
"fax_number": "304-285-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIZNER",
"first_name": "JEANNETTE",
"middle_name": "LOUISE",
"credential": "MS,CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "SLP-0814",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7402276000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.