Individual provider Active NPI

Kristin T Sears-Kopp, MA, CCC-SLP

  • Speech-Language Pathologist
  • Blacksburg, VA
National Provider Identifier
1063630879
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10256 Issued in NC
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

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, NC, VA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2202006759VAMDSpeech-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.

Verify at the official NPI Registry.