Individual provider Active NPI

Kristin B Winter, MED., CCC/SLP

  • Speech-Language Pathologist
  • Palm City, FL
National Provider Identifier
1457961906
Registry record updated Aug 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA4401 Issued in FL
Practice address
1762 SW Crane Creek Cir
Palm City, FL 34990-2232
Phone
(772) 214-8656
NPI assigned
Aug 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2020

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 SA4401 FL Primary

Addresses

Primary practice location

1762 SW Crane Creek Cir
Palm City, FL 34990-2232

Mailing address

1762 SW Crane Creek Cir
Palm City, FL 34990-2232
Phone (772) 214-8656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200826000742 FL Practitioner - Qualified Speech Language Pathologist 6406273275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speechrx LLCGroup PAC ID 9133546906, 5 clinicians

Practice addresses (Care Compare)

Palm City, FL 34990
Phone (772) 781-3740

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SA4401FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speechrx LLC Speech-Language Pathologist CurrentSince Aug 1, 2020 Accepting new patients

Locations

921 SE Ocean Blvd
Ste 3
Stuart, FL 34994
Phone (772) 219-9983

Organizations & group practices 1

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": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596844800000",
    "number": "1457961906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 SW CRANE CREEK CIR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902232",
            "telephone_number": "772-214-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 SW CRANE CREEK CIR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902232",
            "telephone_number": "772-214-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "KRISTIN",
        "middle_name": "B",
        "credential": "MED., CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-08",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.