Individual provider Active NPI

Christina Carson, CCC-SLP

  • Speech-Language Pathologist
  • Prairie Village, KS
National Provider Identifier
1356963029
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
8340 Mission Rd
Prairie Village, KS 66206-1355
Phone
(913) 213-3531
NPI assigned
May 15, 2020
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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 NU Primary

Addresses

Primary practice location

8340 Mission Rd
Prairie Village, KS 66206-1355

Mailing address

4859 Skyline Dr
Roeland Park, KS 66205-1145

Other practice location 1

201 E Flaming Rd
Olathe, KS 66061-5343
Phone (913) 829-2273

Other practice location 2

9701 Monrovia St
Lenexa, KS 66215-1564
Phone (913) 492-1130

Other names 1

  • Christina Degraffenreid Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Christina.DeGraffenreid@genesishcc.com Azria

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4890KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Communication CurrentSince Feb 8, 2023 Accepting new patients
Playabilities PastSince Dec 13, 2020 Accepting new patients
Playabilities for Sensational Kids, LLC Speech-Language Pathologist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christina.degraffenreid@genesishcc.com

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": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1356963029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4859 SKYLINE DR",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662051145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 MISSION RD",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662061355",
            "telephone_number": "913-213-3531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Flaming Rd",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660615343",
            "country_code": "US",
            "telephone_number": "913-829-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9701 Monrovia St",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662151564",
            "country_code": "US",
            "telephone_number": "913-492-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "CHRISTINA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Christina.DeGraffenreid@genesishcc.com",
            "affiliation": "Y",
            "affiliationName": "Azria",
            "address_1": "201 E Flaming Rd",
            "city": "Olathe",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660615343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "DEGRAFFENREID",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.