Kelly Corissa Litwinenko, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

101169 Issued in TX

Practice address

15400 Southwest Fwy Ste 310
Sugar Land, TX 77478-3875

Phone

(281) 494-7010

NPI assigned

Nov 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Texas Children'S Hospital

  dba Texas Children's Hospital North Austin Campus

  • Children's Hospital
  • Austin, TX
  • NPI 1194507947
  NPD (past)
• Texas Children'S Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  NPD (past)

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1215405295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 SOUTHWEST FWY STE 310",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783875",
            "telephone_number": "281-494-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 SOUTHWEST FWY STE 310",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783875",
            "telephone_number": "281-494-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITWINENKO",
        "first_name": "KELLY",
        "middle_name": "CORISSA",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "01066222",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Buddies Pediatrics PA (Pediatrics of Sugar Land)
• Little Flower Homehealth Inc (Little Flower Homehealth)
• Fayla A Little, LPC-A, CTRS
• Janice Little, DM
• Mark Alan Littman, D.D.S
• Livary Dialysis LLC (Grants Lake Dialysis)
• Katherine Rarangol Livone, APRN- CNP
• Liza Jo Leal, M.D. P.a.
• LLW Consulting, Inc.
• LMB Wellness Services

• Speech-Language Pathologist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.