Individual provider Active NPI

Kristie K Pruno, CCC-SLP

  • Speech-Language Pathologist
  • Indian Trail, NC
National Provider Identifier
1447527429
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA11813 Issued in FL
Practice address
2000 Cranston Crossing PL
Indian Trail, NC 28079-3697
Phone
(920) 209-0845
NPI assigned
Nov 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4959 NM
Speech-Language Pathologist 235Z00000X 12018 NC
Speech-Language Pathologist 235Z00000X SA11813 FL Primary

Addresses

Primary practice location

2000 Cranston Crossing PL
Indian Trail, NC 28079-3697

Mailing address

2000 Cranston Crossing PL
Indian Trail, NC 28079-3697
Phone (920) 209-0845

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

State licenses

LicenseStateTypeSpecialty
4959NMMDSpecialist
SA11813FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1447527429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CRANSTON CROSSING PL",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280793697",
            "telephone_number": "920-209-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CRANSTON CROSSING PL",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280793697",
            "telephone_number": "920-209-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUNO",
        "first_name": "KRISTIE",
        "middle_name": "K",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-19",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "4959",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12018",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.