Lara Catherine Kristof, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP 1482 Issued in AZ

Practice address

1860 W Navarro Ave
Mesa, AZ 85202-7444

Phone

(602) 321-8364

NPI assigned

Jun 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306042429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 W NAVARRO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027444",
            "telephone_number": "602-321-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 W NAVARRO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027444",
            "telephone_number": "602-321-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTOF",
        "first_name": "LARA",
        "middle_name": "CATHERINE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP 1482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427577",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Scott Krehl
• Keith Krein, MD
• Kris Eldridge, LPC
• Amy Nicole Kriser
• Prashant Vasanth Krishnan, M.D.
• Brook A Kritzstein, LCSW
• Kelly Michele Krivulka, ATC
• Christina Isabele Krize, CPM, LM
• Brenda Kronborg, D.O.
• Daniel Jayson Kronemeyer

• Speech-Language Pathologist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.