Individual provider Active NPI

Kaitlyn Buoncristiano

  • Speech-Language Pathologist
  • Dover, DE
National Provider Identifier
1093640658
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
25 Maggies Way Ste 2
Dover, DE 19901-4896
Phone
(302) 450-3217
Fax
(302) 883-8192
NPI assigned
Jun 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X DE Primary

Addresses

Primary practice location

25 Maggies Way Ste 2
Dover, DE 19901-4896

Mailing address

25 Maggies Way Ste 2
Dover, DE 19901-4896
Phone (302) 450-3217

Other practice location 1

1673 S State St
Dover, DE 19901-5148
Phone (302) 450-3217

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Speech Therapy, LLC Speech-Language Pathologist PastSince Feb 13, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1093640658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MAGGIES WAY STE 2",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014896",
            "telephone_number": "302-450-3217",
            "fax_number": "302-883-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAGGIES WAY STE 2",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014896",
            "telephone_number": "302-450-3217",
            "fax_number": "302-883-8192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1673 S State St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199015148",
            "country_code": "US",
            "telephone_number": "302-450-3217",
            "fax_number": "302-883-8192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUONCRISTIANO",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.