Individual provider Active NPI

Emily Renee Kronick, MS CCC-SLP

  • Speech-Language Pathologist
  • Walnut Creek, CA
National Provider Identifier
1437900842
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
35482 Issued in CA
Practice address
240 La Casa Via Ste 100
Walnut Creek, CA 94598-4863
Phone
(925) 276-2966
NPI assigned
Apr 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 35482 CA Primary

Addresses

Primary practice location

240 La Casa Via Ste 100
Walnut Creek, CA 94598-4863

Mailing address

1620 N Main St Ste 5
Walnut Creek, CA 94596-4653
Phone (925) 336-1222

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 Science

State licenses

LicenseStateTypeSpecialty
35482CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1437900842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 N MAIN ST STE 5",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964653",
            "telephone_number": "925-336-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 LA CASA VIA STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945984863",
            "telephone_number": "925-276-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONICK",
        "first_name": "EMILY",
        "middle_name": "RENEE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "35482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.