Individual provider Active NPI

Christine Michele Kosirog, SLP

  • Speech-Language Pathologist
  • Lawrence, KS
National Provider Identifier
1194076901
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2876 Issued in KS
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

Updated by the provider on Sep 20, 2012

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 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

Enrollment IDStateProvider typePAC IDDetails
I20250923002710 KS Practitioner - Qualified Speech Language Pathologist 8426553363 Reassigns benefits to 2 organizations

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
State of Kansas-Accounting ServicesGroup PAC ID 2961395140, 12 clinicians
University of KansasGroup PAC ID 7315438785, 5 clinicians

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

LicenseStateTypeSpecialty
2876KSMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kansas Speech-Language Pathologist CurrentSince Jan 7, 2026 Accepting new patients
State of Kansas-Accounting Services Current Accepting new patients
State of Kansas - Accounting Services Speech-Language Pathologist CurrentSince Sep 15, 2025 Accepting new patients
State of Kansas CurrentSince Sep 15, 2025 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.