Active NPI
Justine King, M.S. CCC
- Speech-Language Pathologist
- Crown Point, IN
National Provider Identifier
1497003297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.011250
- Practice address
- 5201 Fountain Dr
Suite D
Crown Point, IN 46307-5324 - Phone
- (815) 922-7076
- NPI assigned
- Aug 27, 2012
- 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 | 146.011250 | IL | Primary |
Addresses
Primary practice location
5201 Fountain Dr
Suite D
Crown Point, IN 46307-5324
Mailing address
5201 Fountain Dr
Suite D
Crown Point, IN 46307-5324
Phone (815) 922-7076
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146.011250 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1497003297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 FOUNTAIN DR",
"address_2": "SUITE D",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463075324",
"telephone_number": "815-922-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 FOUNTAIN DR",
"address_2": "SUITE D",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463075324",
"telephone_number": "815-922-7076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JUSTINE",
"credential": "M.S. CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.011250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.