Karissa J Marble-Flint, M.S.ED., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3402 Issued in KS

Practice address

5015 E 29TH St N
Entrance T
Wichita, KS 67220-2110

Phone

(316) 978-3289

Fax

(316) 978-7264

NPI assigned

Jun 29, 2012

Last updated

Mar 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wichita State University

  dba Wichita State University Speech Language Hearing Clinic

  • Speech-Language Pathologist
  • Wichita, KS
  • NPI 1295821858
  NPD (past)

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1073877452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 FAIRMOUNT ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672600099",
            "telephone_number": "316-978-3289",
            "fax_number": "316-978-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 E 29TH ST N",
            "address_2": "ENTRANCE T",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202110",
            "telephone_number": "316-978-3289",
            "fax_number": "316-978-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARBLE-FLINT",
        "first_name": "KARISSA",
        "middle_name": "J",
        "credential": "M.S.ED., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1469",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "3402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Manzanarez, LMSW
• Danielle Marie Mapes, LMSW
• Brenden Christopher Mar, D.D.S.
• Christopher Franklin Mar, DDS
• Marina Mar
• Marcella's Family Home Care, LLC (Marcella's Home Care)
• Daniel L March, RN
• Tonya Marchand
• Stacey Dawn Marciano, APRN
• Kendra Nichole Marcotte, MD

• Speech-Language Pathologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.