Kristen Nicole May – Speech-Language Pathologist

Key facts

NPI: 1013776459
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 30002616 (NC)
Practice address: 7312 Central Parke Blvd
Mason, OH 45040-6802
Phone: (513) 402-1711
Fax: (317) 520-8200
NPI assigned: Mar 18, 2024
Sex: Female
Sole proprietor: No

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.

Lake Norman Communication Services, Inc. Physical Medicine & Rehabilitation Physician · Mooresville, NC · NPI 1467908368

NPD SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
30002616	NC	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Lake Norman Communication Services, Inc.	Speech-Language Pathologist	Current since Mar 1, 2024	Accepting new patients

Locations

484 Williamson Rd
Ste 102
Mooresville, NC 28117
Phone (704) 293-6552

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X		OH
Speech-Language Pathologist	235Z00000X	30002616	NC	Yes

Addresses

Primary practice location

7312 Central Parke Blvd
Mason, OH 45040-6802

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885

Other practice location 1

364 S Hwy 16 Ste 100
Stanley, NC 28164
Phone (704) 746-9698

Other practice location 2

484 Williamson Rd Ste 102
Mooresville, NC 28117-8191
Phone (704) 746-9698

Other names

Kristen Nicole Janda Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 16, 2024.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1013776459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7312 CENTRAL PARKE BLVD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406802",
            "telephone_number": "513-402-1711",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "364 S Hwy 16 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Stanley",
            "state": "NC",
            "postal_code": "28164",
            "country_code": "US",
            "telephone_number": "704-746-9698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "484 Williamson Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281178191",
            "country_code": "US",
            "telephone_number": "704-746-9698",
            "fax_number": "704-662-3304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAY",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30002616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "JANDA",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mason, OH

All providers in Mason, OH · Speech-Language Pathologist in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.