Individual provider Active NPI

Kristen Marie Richards-Ott

  • Speech-Language Pathologist
  • Arlington Heights, IL
National Provider Identifier
1063669513
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
123306 Issued in TX
Practice address
1016 N Stratford Rd
Arlington Heights, IL 60004-5842
Phone
(847) 749-3896
NPI assigned
Aug 26, 2008
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146009575 IL
Speech-Language Pathologist 235Z00000X 123306 TX Primary

Addresses

Primary practice location

1016 N Stratford Rd
Arlington Heights, IL 60004-5842

Mailing address

1016 N Stratford Rd
Arlington Heights, IL 60004-5842
Phone (847) 749-3896

Other practice location 1

1513 Meridian Dr Apt 2609
Irving, TX 75038-3252
Phone (847) 656-6878

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

State licenses

LicenseStateTypeSpecialty
146009575ILMDSpeech-Language Pathologist
123306TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1063669513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 N STRATFORD RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045842",
            "telephone_number": "847-749-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 N STRATFORD RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045842",
            "telephone_number": "847-749-3896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1513 Meridian Dr Apt 2609",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750383252",
            "country_code": "US",
            "telephone_number": "847-656-6878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS-OTT",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146009575",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "123306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.