Active NPI
Kristin Elizabeth Knoop, CF-SLP
- Speech-Language Pathologist
- O Fallon, MO
National Provider Identifier
1316494180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2016029881
- Practice address
- 150 Waterford Crossing Dr
O Fallon, MO 63368-7135 - Phone
- (636) 272-6690
- NPI assigned
- Sep 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 2016029881 | MO | Primary |
Addresses
Primary practice location
150 Waterford Crossing Dr
O Fallon, MO 63368-7135
Mailing address
555 E Terra LN
O Fallon, MO 63366-2725
Phone (636) 240-2072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016029881 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Zumwalt School District | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- O Fallon, MO
- NPI 1912047846
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1316494180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E TERRA LN",
"city": "O FALLON",
"state": "MO",
"postal_code": "633662725",
"telephone_number": "636-240-2072",
"fax_number": "636-272-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 WATERFORD CROSSING DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633687135",
"telephone_number": "636-272-6690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOOP",
"first_name": "KRISTIN",
"middle_name": "ELIZABETH",
"credential": "CF-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-08",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2016029881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.