Kristen Distefano, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

107961 Issued in TX

Practice address

14705 Woodforest Blvd
Houston, TX 77015-3258

Phone

(832) 386-1071

NPI assigned

Nov 2, 2011

Last updated

Oct 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Achieve Speech and Language Services PLLC

  dba Achieve Speech & Language

  • Speech-Language Pathologist
  • Humble, TX
  • NPI 1164528766
  NPD (past)
• Galena Park Isd

  • Local Education Agency (LEA)
  • Houston, TX
  • NPI 1982731014
  NPD (past)

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1346526449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18637 SUMMER HILLS BLVD",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773656783",
            "telephone_number": "281-812-9519",
            "fax_number": "281-812-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14705 WOODFOREST BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153258",
            "telephone_number": "832-386-1071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19100 W Lake Houston Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773465139",
            "country_code": "US",
            "telephone_number": "281-812-9519",
            "fax_number": "281-812-5719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISTEFANO",
        "first_name": "KRISTEN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dispatchhealth-Texas P a (Dispatchhealth)
• Dispatchhealth-Texas P a
• Anna Maria Elizabeth Dissmore, PA-C
• David Leighton Distefano
• Ignatius Paul Distefano
• Distinct Abilities Academic Preschool, LLC
• Distinct Speech Solutions, PLLC
• Distinctive Differences
• Distinguished Hospice Inc
• Distinguished Pharmaceuticals LLC (Distinguished Pharmacy)

• Speech-Language Pathologist in Houston, TX
• Providers in Houston, 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 Oct 5, 2021; 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.