Kristin Erin Vagnarelli, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL010671 Issued in PA

Practice address

802 Monroe St
Stroudsburg, PA 18360-1707

Phone

(570) 242-5680

NPI assigned

Jan 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Family Therapeutic Services, Inc.

  • Early Intervention Provider Agency
  • Stroudsburg, PA
  • NPI 1942451612
  NPD (past)

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1467722280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MONROE ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601707",
            "telephone_number": "570-242-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MONROE ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601707",
            "telephone_number": "570-242-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGNARELLI",
        "first_name": "KRISTIN",
        "middle_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Turano, MSW
• Ultraprecise Teleradiology Services
• Kelly A Unruh, MED, ATC
• Heidi Faith Unterberg, LPC, NCC
• Chanakya Vadde, PHARMACIST
• Valley Health Partners Community Health Center
• Morgan Jae Van Solkema, PA-C
• Linda Lieselotte Vanmeter, PH.D.
• William Isaac Vanmeter, PH.D.
• Ruth Velazquez, OT

• All providers in Stroudsburg, PA
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.