Individual provider Active NPI

Krista Lee Wiseman, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Rutherfordton, NC
National Provider Identifier
1427287341
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7940 Issued in SC
Practice address
1436 Jack McKinney Rd
Rutherfordton, NC 28139-7743
Phone
(828) 748-5558
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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 9036 NC
Speech-Language Pathologist 235Z00000X 7940 SC Primary

Addresses

Primary practice location

1436 Jack McKinney Rd
Rutherfordton, NC 28139-7743

Mailing address

1436 Jack McKinney Rd
Rutherfordton, NC 28139-7743
Phone (828) 748-5558

Other practice location 1

3330 US Highway 221 S
Forest City, NC 28043-7096
Phone (828) 248-2354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250421000816 SC Practitioner - Qualified Speech Language Pathologist 8325563570 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7940SCMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince Mar 10, 2025 Accepting new patients
Wiseman SLP Services PLLC CurrentSince May 22, 2022 Accepting new patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince Mar 10, 2025 Accepting new patients

Locations

101 Park Ct
Gaffney, SC 29341
Phone (843) 800-2754

1 Marcus Dr
Ste 102
Greenville, SC 29615

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1427287341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 JACK MCKINNEY RD",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281397743",
            "telephone_number": "828-748-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 JACK MCKINNEY RD",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281397743",
            "telephone_number": "828-748-5558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 US Highway 221 S",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "280437096",
            "country_code": "US",
            "telephone_number": "828-248-2354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "KRISTA",
        "middle_name": "LEE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "9036",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherfordton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.