Kristi Newman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146008339 Issued in IL

Practice address

6809 McCullom Lake Rd
Wonder Lake, IL 60097-9546

Phone

(815) 653-2311

NPI assigned

Sep 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristi Walkington Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Harrison School District #36

  • Local Education Agency (LEA)
  • Wonder Lake, IL
  • NPI 1013188044
  NPD (past)

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1043868953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 CHOPIN LN",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600988099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 MCCULLOM LAKE RD",
            "city": "WONDER LAKE",
            "state": "IL",
            "postal_code": "600979546",
            "telephone_number": "815-653-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "KRISTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "WALKINGTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James J Schroeder, DDS LTD
• Joseph Kostock, D.C.
• Angelica Katherine Kulikowski, RDN, LDN
• Katherine Mueller
• Sunita Narang, M.D.
• Winter Leigh Noe, MED
• Deanna Olbinski
• Kristy Olson
• On Course Therapy LLC
• Kirsten F Reay, D.C.

• Speech-Language Pathologist in Wonder Lake, IL
• Providers in Wonder Lake, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.