Active NPI
Kristine Lynn Femminineo, MACCC-SLP
- Speech-Language Pathologist
- Waterford, MI
National Provider Identifier
1427965342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101003609
- Practice address
- 6010 Hatchery Rd
Waterford, MI 48329-3140 - Phone
- (248) 666-9593
- NPI assigned
- Aug 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 7101003609 | MI | Primary |
Addresses
Primary practice location
6010 Hatchery Rd
Waterford, MI 48329-3140
Mailing address
501 N Cass Lake Rd
Waterford, MI 48328-2307
Phone (248) 666-9593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1427965342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N CASS LAKE RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483282307",
"telephone_number": "248-666-9593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 HATCHERY RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483293140",
"telephone_number": "248-666-9593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEMMININEO",
"first_name": "KRISTINE",
"middle_name": "LYNN",
"credential": "MACCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101003609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.