Kristin E Sherwood, MA, CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003980 Issued in WA

Practice address

17311 135TH Ave NE Ste C200
Woodinville, WA 98072-3564

Phone

(425) 486-7710

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Jorgensen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Children'S Therapy of Woodinville

  • Pediatric Occupational Therapist
  • Bothell, WA
  • NPI 1558440198

  Speech-Language Pathologist

  NPD (past)
• Kids in Motion, Inc.

  • Occupational Therapist
  • Woodinville, WA
  • NPI 1427107259
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083765176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 NE 202ND ST",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980288515",
            "telephone_number": "425-486-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17311 135TH AVE NE STE C200",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980723564",
            "telephone_number": "425-486-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "KRISTIN",
        "middle_name": "E",
        "credential": "MA, CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "JORGENSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelley Cordes Counseling, Inc
• John Eugene Shephard Jr., BS, MA, LMHC
• Elaine Frances Sheppard, RN
• Sherill Van Schoonhoven, PLLC
• Bethany Sherman, LMHC
• Shin & Youn Professional Services
• Samira Shokati, ARNP
• Simas Clinic Inc
• Krystyna Simm
• Elizabeth Hope Sims-Day, ND

• Speech-Language Pathologist in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.