Individual provider Active NPI

Christina Bergman, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Whitehouse, OH
National Provider Identifier
1053820142
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.13103 Issued in OH
Practice address
6504 Lenderson Ave
Whitehouse, OH 43571-9639
Phone
(419) 270-3031
NPI assigned
Sep 21, 2017
Last updated
Dec 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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 SP.13103 OH Primary

Addresses

Primary practice location

6504 Lenderson Ave
Whitehouse, OH 43571-9639

Mailing address

6504 Lenderson Ave
Whitehouse, OH 43571-9639
Phone (419) 270-3031

Other practice location 1

5530 West Pkwy Ste 300
Johnston, IA 50131-2258
Phone (515) 419-4270

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
SP.13103OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1053820142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 LENDERSON AVE",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719639",
            "telephone_number": "419-270-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6504 LENDERSON AVE",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719639",
            "telephone_number": "419-270-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5530 West Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "IA",
            "postal_code": "501312258",
            "country_code": "US",
            "telephone_number": "515-419-4270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "CHRISTINA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehouse, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; 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.