NPIMap

Organization Active NPI

Kristin M. Peterson LTD

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1407079205
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146005279 Issued in IL
Legal business name
KRISTIN M. PETERSON LTD
Practice address
1733 W Irving Park Rd
# 321
Chicago, IL 60613-2500
Phone
(773) 983-2118
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Kristin Peterson, M.S. CCC-SLPNPI 1851537849
Title
Speech Pathologist
Phone
(773) 983-2118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 146005279 IL Primary

Addresses

Primary practice location

1733 W Irving Park Rd
# 321
Chicago, IL 60613-2500

Mailing address

1733 W Irving Park Rd
# 321
Chicago, IL 60613-2500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1407079205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 W IRVING PARK RD",
            "address_2": "# 321",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 W IRVING PARK RD",
            "address_2": "# 321",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132500",
            "telephone_number": "773-983-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN M. PETERSON LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "773-983-2118",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146005279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.