Individual provider Active NPI

Kristine L Buchanan, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Highland Village, TX
National Provider Identifier
1346487840
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
102672 Issued in TX
Practice address
105 Glencastle CT
Highland Village, TX 75077-3158
Phone
(972) 317-7697
NPI assigned
Jan 21, 2009
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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 102672 TX Primary

Addresses

Primary practice location

105 Glencastle CT
Highland Village, TX 75077-3158

Mailing address

105 Glencastle CT
Highland Village, TX 75077-3158
Phone (972) 317-7697

Other names 1

  • Ms. Kristine L Chaney Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240327002262 TX Practitioner - Qualified Speech Language Pathologist 3476990342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

966 N Garden Ridge Blvd
Suite 530
Lewisville, TX 75077-2876
Phone (972) 420-6605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
102672TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Lewisville Therapy Center Inc CurrentSince Apr 1, 2024 Accepting new patients
Greater Lewisville Therapy Center Inc CurrentSince Apr 1, 2024 Accepting new patients
Balance in Motion Physical Therapy and Wellness LLC CurrentSince Apr 26, 2024 Accepting new patients

Locations

400 W Arbrook Blvd
Ste 151
Arlington, TX 76014
Phone (817) 472-8383

3733 N Josey Ln
Ste 100
Carrollton, TX 75007
Phone (972) 395-7445

966 N Garden Ridge Blvd
Ste 530
Lewisville, TX 75077
Phone (972) 420-6605

1010 N Belt Line Rd
Ste 102
Mesquite, TX 75149
Phone (972) 288-2400

Organizations & group practices 3

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": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1346487840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GLENCASTLE CT",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773158",
            "telephone_number": "972-317-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GLENCASTLE CT",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773158",
            "telephone_number": "972-317-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "KRISTINE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "CHANEY",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "M.S. CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Highland Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.