Individual provider Active NPI

Emilee M Krissinger, MS, CCC-SLP/L

  • Speech-Language Pathologist
  • Bethlehem, PA
National Provider Identifier
1033459078
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL011526 Issued in PA
Practice address
1200 Spring St
Bethlehem, PA 18018-4940
Phone
(610) 865-5595
NPI assigned
Feb 28, 2013
Last updated
Jun 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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 SL011526 PA Primary

Addresses

Primary practice location

1200 Spring St
Bethlehem, PA 18018-4940

Mailing address

1200 Spring St
Bethlehem, PA 18018-4940
Phone (610) 865-5595

Other practice location 1

2 Gracedale Ave
Nazareth, PA 18064-8785
Phone (610) 746-1947

Other identifiers 1

IdentifierTypeStateIssuer
SL011526MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Www.holyfamilysl.org

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

LicenseStateTypeSpecialty
SL011526PAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1033459078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SPRING ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180184940",
            "telephone_number": "610-865-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SPRING ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180184940",
            "telephone_number": "610-865-5595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Gracedale Ave",
            "address_purpose": "LOCATION",
            "city": "Nazareth",
            "state": "PA",
            "postal_code": "180648785",
            "country_code": "US",
            "telephone_number": "610-746-1947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISSINGER",
        "first_name": "EMILEE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SL011526",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.holyfamilysl.org",
            "affiliation": "N",
            "address_1": "1200 Spring St",
            "city": "Bethlehem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180184940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.