Individual provider Active NPI

Kristin Jolene Knies Schitter, MA., CCC-SLP

  • Speech-Language Pathologist
  • Jasper, IN
National Provider Identifier
1386945764
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22006266A Issued in IN
Practice address
671 3Rd Ave
Jasper, IN 47546-3652
Phone
(812) 630-2833
Fax
(812) 301-1329
NPI assigned
Nov 16, 2010
Last updated
May 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22006266A IN Primary
Speech-Language Pathologist 235Z00000X 105883 TX

Addresses

Primary practice location

671 3Rd Ave
Jasper, IN 47546-3652

Mailing address

295 E 12TH Ave
Jasper, IN 47546-8149
Phone (812) 630-2833

Other practice location 1

295 E 12th Ave
Jasper, IN 47546-8149
Phone (812) 630-2833

Other identifiers 1

IdentifierTypeStateIssuer
22006266AOtherINSPEECH LANG PATH & AUDIO BOARD

Other names 1

  • Kristin Jolene Knies Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
22006266AINMDSpeech-Language Pathologist
105883TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiny Tots Speech Therapy Speech-Language Pathologist Current Accepting new patients

Locations

671 3rd Ave
Jasper, IN 47546
Phone (812) 630-2833

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, 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": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1386945764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 E 12TH AVE",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475468149",
            "telephone_number": "812-630-2833",
            "fax_number": "210-344-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 3RD AVE",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463652",
            "telephone_number": "812-630-2833",
            "fax_number": "812-301-1329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 E 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "IN",
            "postal_code": "475468149",
            "country_code": "US",
            "telephone_number": "812-630-2833",
            "fax_number": "812-301-1329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHITTER",
        "first_name": "KRISTIN",
        "middle_name": "JOLENE KNIES",
        "credential": "MA., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22006266A",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105883",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANG PATH & AUDIO BOARD",
            "identifier": "22006266A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "KNIES",
            "middle_name": "JOLENE",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.