Active NPI
Kristin Marie Schoo, M.A., CCC-SLP
- Speech-Language Pathologist
- Cadillac, MI
National Provider Identifier
1528534500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101004809
- Practice address
- 460 Pearl St
Cadillac, MI 49601-2699 - Phone
- (231) 775-0101
- NPI assigned
- Oct 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 7101004809 | MI | Primary |
Addresses
Primary practice location
460 Pearl St
Cadillac, MI 49601-2699
Mailing address
11411 W Cadillac Rd
Cadillac, MI 49601-9408
Phone (989) 578-0610
Other practice location 1
1505 E Parkdale Ave
Manistee, MI 49660-9319
Phone (231) 723-2543
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7101004809 | Other | MI | MICHIGAN SLP LICENSE |
| 14093754 | Other | ASHA |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101004809 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1528534500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11411 W CADILLAC RD",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496019408",
"telephone_number": "989-578-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 PEARL ST",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496012699",
"telephone_number": "231-775-0101"
}
],
"practiceLocations": [
{
"address_1": "1505 E Parkdale Ave",
"address_purpose": "LOCATION",
"city": "Manistee",
"state": "MI",
"postal_code": "496609319",
"country_code": "US",
"telephone_number": "231-723-2543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHOO",
"first_name": "KRISTIN",
"middle_name": "MARIE",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101004809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN SLP LICENSE",
"identifier": "7101004809",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "14093754",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.