Kristin M Carlson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

WI-3252-154 Issued in WI

Practice address

410 S 3Rd St
River Falls, WI 54022-5010

Phone

(715) 425-3801

NPI assigned

Dec 27, 2011

Last updated

Dec 27, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Wisconsin System Non Payroll

  dba University of Wisconsin-River Falls Speech and Hearing Clinic

  • Speech-Language Pathologist
  • River Falls, WI
  • NPI 1740559848
  NPD (past)

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1558630285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 BUCKINGHAM ALCOVE",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252403",
            "telephone_number": "651-702-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S 3RD ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540225010",
            "telephone_number": "715-425-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "WI-3252-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Brakke
• Courtney Ann Brunner, MSW, LCSW
• Mary Jo Brunner, RD, LD, CD
• Samantha Bush
• Ellen J Butts, RN, APNP
• Melissa Chang
• Jacqueline Elizabeth Charles, LPC
• Jennifer Louise Chase, PHARM.D, RPH
• Chiropractic Family Health Center
• City of River Falls (River Falls Area Ambulance Service)

• Speech-Language Pathologist in River Falls, WI
• Providers in River Falls, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.