Active NPI
Kristin Sharon Stoick, M.S., CCC-SLP
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1043765993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.013641
- Practice address
- 3709 N Kedzie Ave
Chicago, IL 60618-4503 - Phone
- (773) 377-5492
- Fax
- (773) 303-8422
- NPI assigned
- Aug 22, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 111415 | TX | |
| Speech-Language Pathologist | 235Z00000X | 146.013641 | IL | Primary |
Addresses
Primary practice location
3709 N Kedzie Ave
Chicago, IL 60618-4503
Mailing address
2706 N Francisco Ave
Chicago, IL 60647-1706
Phone (713) 294-0718
Other practice location 1
355 E Erie St
Chicago, IL 60611-3167
Phone (713) 294-0718
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146.013641 | Other | IL | STATE LICENSE |
| 111415 | Other | TX | STATE LICENSE |
Other names 1
- Kristin Shron Lafrate
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 |
|---|---|---|---|
| 146.013641 | IL | MD | Speech-Language Pathologist |
| 111415 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1043765993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 N FRANCISCO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606471706",
"telephone_number": "713-294-0718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3709 N KEDZIE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606184503",
"telephone_number": "773-377-5492",
"fax_number": "773-303-8422"
}
],
"practiceLocations": [
{
"address_1": "355 E Erie St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606113167",
"country_code": "US",
"telephone_number": "713-294-0718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOICK",
"first_name": "KRISTIN",
"middle_name": "SHARON",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-22",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "111415",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.013641",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "146.013641",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "111415",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "LAFRATE",
"middle_name": "SHRON",
"credential": "M.S., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.