Active NPI
Kristin Flannigan, M.A. , CCC-SLP
- Speech-Language Pathologist
- Fresno, CA
National Provider Identifier
1396220067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 24653
- Practice address
- 2505 W Shaw Ave BLDG a
Fresno, CA 93711-3334 - Phone
- (559) 228-9100
- Fax
- (559) 228-9200
- NPI assigned
- Sep 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 24653 | CA | Primary |
Addresses
Primary practice location
2505 W Shaw Ave BLDG a
Fresno, CA 93711-3334
Mailing address
PO Box 3904
Fresno, CA 93650-3904
Phone (660) 349-0236
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24653 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1396220067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3904",
"city": "FRESNO",
"state": "CA",
"postal_code": "936503904",
"telephone_number": "660-349-0236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 W SHAW AVE BLDG A",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113334",
"telephone_number": "559-228-9100",
"fax_number": "559-228-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANNIGAN",
"first_name": "KRISTIN",
"name_prefix": "Ms.",
"credential": "M.A. , CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-28",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "24653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.