Judie Lee Krupp, MACCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA4860 Issued in FL

Practice address

21607 Helmsdale Run
Estero, FL 33928-6242

Phone

(239) 913-7454

Fax

(239) 992-4518

NPI assigned

Nov 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1043490840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21607 HELMSDALE RUN",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286242",
            "telephone_number": "239-913-7454",
            "fax_number": "239-992-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21607 HELMSDALE RUN",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286242",
            "telephone_number": "239-913-7454",
            "fax_number": "239-992-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPP",
        "first_name": "JUDIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MACCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Lee Knepper, DDS
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• Alexandra Konowal, DO
• Benjamin John Konynenbelt, O.D.
• Jessie Elizabeth Konynenbelt, O.D.
• Charles J Kull, PT, DPT
• Josephine Marie Kunkle, PH.D
• Elizabeth Melissa Kwiatek
• Caroline Lambe, PT, DPT, CLT
• Lambert Wellness LLC

• Speech-Language Pathologist in Estero, FL
• Providers in Estero, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.

Verify at the official NPI Registry.