Janine Kreider, CCC-SLP

Key facts

NPI

1174909170

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

12198 (NC)

Practice address

300 Bridgewater Lane
Darien, GA 31305-3130

Phone

(912) 248-2734

NPI assigned

Aug 3, 2015

Sex

Female

Sole proprietor

Yes

Organizations & group practices 4

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.

• Restorative Language Therapy Services Home Health Agency · Darien, GA · NPI 1407552177
  NPD Authorized official
• Restorative Language Therapy Services Clinic/Center · Darien, GA · NPI 1952007544
  NPD Authorized official
• J.Z. Mann Pediatric Therapy, Inc. Speech-Language Pathologist · Jacksonville, NC · NPI 1316031222
  NPD (past) SPEECH-LANGUAGE PATHOLOGIST
• Pro Step Therapy Inc Physical Therapist · Richlands, NC · NPI 1093960882
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174909170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BRIDGEWATER LANE",
            "city": "DARIEN",
            "state": "GA",
            "postal_code": "313054700",
            "telephone_number": "912-248-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BRIDGEWATER LANE",
            "city": "DARIEN",
            "state": "GA",
            "postal_code": "313053130",
            "telephone_number": "912-248-2734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 New Bridge St Ste 10A",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285404700",
            "country_code": "US",
            "telephone_number": "910-347-2212",
            "fax_number": "910-338-5013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREIDER",
        "first_name": "JANINE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, GA

• Saajidah Harris
• Zhane Asare Jackson
• Jehovah-Jireh
• Jet'S Pharmacy, LLC
• Tashema Maria Jones
• Lisa Futch
• Little Creek Drug LLC
• Living Well House Calls LLC
• Dorothy Nanette Manning, NP
• Reynaldo Manzo, MD

All providers in Darien, GA · Speech-Language Pathologist in Georgia