Active NPI
Christine Michele Kosirog, SLP
- Speech-Language Pathologist
- Lawrence, KS
National Provider Identifier
1194076901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2876
- Practice address
- 2200 Harvard Rd
Suite 101
Lawrence, KS 66049-2611 - Phone
- (785) 842-0656
- NPI assigned
- Sep 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2876 | KS | Primary |
Addresses
Primary practice location
2200 Harvard Rd
Suite 101
Lawrence, KS 66049-2611
Mailing address
1015 New York St
Lawrence, KS 66044-3051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Sunnyside Ave
Lawrence, KS 66045-7600
Phone (785) 864-4690
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2876 | KS | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kansas | Speech-Language Pathologist | Current | Accepting new patients |
| State of Kansas-Accounting Services | Current | Accepting new patients | |
| State of Kansas - Accounting Services | Speech-Language Pathologist | Current | Accepting new patients |
| State of Kansas | Current | Accepting new patients |
Locations
1301 KS Highway 264
Larned, KS 67550
Phone (620) 285-2131
1200 Sunnyside Ave
#2101
Lawrence, KS 66045
Phone (785) 864-0656
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/e13c1e21-bd04-471c-b46a-cb74f87dcaaa/
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.
-
- Psychiatric Hospital
- Larned, KS
- NPI 1144422197
-
- Speech-Language Pathologist
- Lawrence, KS
- NPI 1851266118
-
- Psychiatric Hospital
- Kansas City, KS
- NPI 1114920980
-
- Speech-Language Pathologist
- Lawrence, KS
- NPI 1396731626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348099200000",
"number": "1194076901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 NEW YORK ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660443051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 HARVARD RD",
"address_2": "SUITE 101",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660492611",
"telephone_number": "785-842-0656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSIROG",
"first_name": "CHRISTINE",
"middle_name": "MICHELE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-20",
"last_updated": "2012-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "2876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.