Kristina Rairie'S Speech Language Therapy Services, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA5386 Issued in FL

Legal business name

KRISTINA RAIRIE'S SPEECH LANGUAGE THERAPY SERVICES, INC.

Practice address

1651 W Gulf to Lake Hwy
Lecanto, FL 34461-7722

Phone

(352) 746-9233

Fax

(352) 746-9323

NPI assigned

May 30, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kristina Linnea Gustafson-Rairie, MA, CCC-SLP

Title

President

Phone

(352) 746-9233

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Above and Beyond Communication Therapy Doing business as

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1508024019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 W GULF TO LAKE HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344617722",
            "telephone_number": "352-746-9233",
            "fax_number": "352-746-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 W GULF TO LAKE HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344617722",
            "telephone_number": "352-746-9233",
            "fax_number": "352-746-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA RAIRIE'S SPEECH LANGUAGE THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON-RAIRIE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "LINNEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-746-9233",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889362400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Above and Beyond Communication Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Lynn Kelley, LCSW
• Kelly Sieg Incorporated
• Kathleen Ann Kinney, LMHC
• Tricia Kisiday, MS OTR/L
• Mark Joseph Knapp, MD
• Suhas Murlidhar Kulkarni, M.D.
• Udaya Kumar, MD
• Meredith Lee Kupcho
• Benjamin K Lambright, M.D.
• Jacqueline Bethany Lane, REGISTERED NURSE

• Speech-Language Pathologist in Lecanto, FL
• Providers in Lecanto, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.