Active NPI
Kristin T Sears-Kopp, MA, CCC-SLP
- Speech-Language Pathologist
- Blacksburg, VA
National Provider Identifier
1063630879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10256
- Practice address
- 1997 S Main St Ste 601
Blacksburg, VA 24060-6606 - Phone
- (540) 961-1230
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10256 | NC | Primary |
| Speech-Language Pathologist | 235Z00000X | SLP1473 | WV | |
| Speech-Language Pathologist | 235Z00000X | 2202006759 | VA | |
| Speech-Language Pathologist | 235Z00000X | SA23427 | FL | |
| Speech-Language Pathologist | 235Z00000X | SLP013514 | GA |
Addresses
Primary practice location
1997 S Main St Ste 601
Blacksburg, VA 24060-6606
Mailing address
1415 Palmer Dr
Blacksburg, VA 24060-5632
Phone (215) 280-9734
Other names 1
- Kristin Sears
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, NC, VA
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260612001361 | FL | Practitioner - Qualified Speech Language Pathologist | 4880166602 | |
| I20260616003101 | GA | Practitioner - Qualified Speech Language Pathologist | 4880166602 | |
| I20260617001431 | NC | Practitioner - Qualified Speech Language Pathologist | 4880166602 | |
| I20260617001709 | VA | Practitioner - Qualified Speech Language Pathologist | 4880166602 |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7600 Chevy Chase Dr
Austin, TX 78752-1503
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202006759 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1063630879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 PALMER DR",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240605632",
"telephone_number": "215-280-9734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1997 S MAIN ST STE 601",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240606606",
"telephone_number": "540-961-1230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARS-KOPP",
"first_name": "KRISTIN",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "10256",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "SLP1473",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202006759",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA23427",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP013514",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "SEARS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.