Active NPI
Kristin Slagle
- Speech-Language Pathologist
- Mount Laurel, NJ
National Provider Identifier
1487372330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00782200
- Practice address
- 523 Fellowship Rd Ste 290
Mount Laurel, NJ 08054-3418 - Phone
- (856) 424-5552
- NPI assigned
- Aug 17, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 41YS00782200 | NJ | Primary |
Addresses
Primary practice location
523 Fellowship Rd Ste 290
Mount Laurel, NJ 08054-3418
Mailing address
523 Fellowship Rd Ste 290
Mount Laurel, NJ 08054-3418
Phone (856) 424-5552
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1487372330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 FELLOWSHIP RD STE 290",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080543418",
"telephone_number": "856-424-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 FELLOWSHIP RD STE 290",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080543418",
"telephone_number": "856-424-5552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAGLE",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-17",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00782200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Laurel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.