Kristin Cordell

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2325 Ohio Pkwy
Rockford, IL 61108-7514

Phone

(815) 229-2840

NPI assigned

Oct 14, 2021

Last updated

Oct 14, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1538822762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5741 BERWICK PL",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 OHIO PKWY",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611087514",
            "telephone_number": "815-229-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDELL",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin.cordell@rps205.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "2325 Ohio Pkwy",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611087514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony J Corbo
• David M Corcoran, DDS
• Dennis Michael Corcoran, M.D.
• Lorie Anne Corcoran, APNP
• Flavio Cordano, DPM
• Samantha Corey
• Clayton A. Corless, ATC
• Mark Edward Cormier, M.D.
• Ashley C Cornell
• Cornerstone Clinic, LTD.

• Speech-Language Pathologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.