Kristin De Meo, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111883 Issued in TX

Practice address

21325 Eva St
Montgomery, TX 77356-1967

Phone

(832) 808-5942

Fax

(346) 202-0123

NPI assigned

Sep 20, 2018

Last updated

Sep 23, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Montgomery Speech Therapy PLLC

  dba Play Pediatric Therapy

  • Multi-Specialty Clinic/Center
  • Montgomery, TX
  • NPI 1134603269

  Speech-Language Pathologist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1346724895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21325 EVA ST",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773561967",
            "telephone_number": "936-463-1788",
            "fax_number": "346-202-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21325 EVA ST",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773561967",
            "telephone_number": "832-808-5942",
            "fax_number": "346-202-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MEO",
        "first_name": "KRISTIN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody David, LVN
• Andrew John Davis, M.D.
• Bradley Davis
• Jane Davis, PT, MSHP
• Mia Davis, LMT
• Amy R Dean, LMFT
• Deer Lake Lodge, LLC
• Dental Health Associates of Texas, PC (Stewart Creek Dental Care)
• Dentists of Montgomery, PC (Dentists of Montgomery)
• Tony Wesley Deramus, DC

• Speech-Language Pathologist in Montgomery, TX
• Providers in Montgomery, 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 Sep 23, 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.