Individual provider Active NPI

Krysten Melissa Sears, CCC-SLP

  • Speech-Language Pathologist
  • Voorhees, NJ
National Provider Identifier
1255860102
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01112900 Issued in NJ
Practice address
1001 Sheppard Rd
Voorhees, NJ 08043-4796
Phone
(856) 772-1617
Fax
(856) 229-7850
NPI assigned
Jun 5, 2017
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL016129 PA
Speech-Language Pathologist 235Z00000X 6109 SC
Speech-Language Pathologist 235Z00000X 41YS01112900 NJ Primary

Addresses

Primary practice location

1001 Sheppard Rd
Voorhees, NJ 08043-4796

Mailing address

1001 Sheppard Rd
Voorhees, NJ 08043-4796
Phone (856) 772-1617

Other practice location 1

1608 Walnut St Fl 9
Philadelphia, PA 19103-5451
Phone (215) 929-8301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220228001612 PA Practitioner - Qualified Speech Language Pathologist 7416341953 Reassigns benefits to 2 organizations
I20220228001756 NJ Practitioner - Qualified Speech Language Pathologist 7416341953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, shared by 7 NPIs, 793 clinicians

Practice addresses (Care Compare)

1001 Sheppard Rd
Voorhees, NJ 08043-4796
Phone (856) 772-1617

1608 Walnut St 9TH FLR
Becker ENT Allergy Walnut St
Philadelphia, PA 19103-5451
Phone (215) 929-8301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6109SCMDOccupational Therapist
41YS01112900NJMDSpeech-Language Pathologist
SL016129PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Mar 1, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince May 4, 2023 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Mar 1, 2022 Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Alliance Otolaryngology and Facial Plastic Surgery LLC Past Accepting new patients

Locations

1 Union St
Ste 203
Robbinsville, NJ 08691
Phone (609) 436-5740

570 Egg Harbor Rd
Ste B2
Sewell, NJ 08080
Phone (856) 256-0051

1001 Sheppard Rd
Voorhees, NJ 08043
Phone (856) 745-9697

709 Haddonfield Berlin Rd
Fl 1
Voorhees, NJ 08043
Phone (856) 375-1440

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

1608 Walnut St
Fl 9
Philadelphia, PA 19103
Phone (215) 929-8301

1740 South St
Philadelphia, PA 19146
Phone (215) 546-2183

1840 South St
Philadelphia, PA 19146
Phone (215) 421-7889

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

111 Floral Vale Blvd
Yardley, PA 19067
Phone (445) 777-5550

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1255860102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SHEPPARD RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434796",
            "telephone_number": "856-772-1617",
            "fax_number": "856-229-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SHEPPARD RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434796",
            "telephone_number": "856-772-1617",
            "fax_number": "856-229-7850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Walnut St Fl 9",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191035451",
            "country_code": "US",
            "telephone_number": "215-929-8301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEARS",
        "first_name": "KRYSTEN",
        "middle_name": "MELISSA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL016129",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6109",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01112900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.