Active NPI
Kristine Lundgren, SC.D.
- Speech-Language Pathologist
- Greensboro, NC
National Provider Identifier
1609168459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 718018
- Practice address
- 323 Ferguson Building
University of North Carolina at Greensboro
Greensboro, NC 27402 - Phone
- (336) 334-9858
- NPI assigned
- May 12, 2011
- 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 | 718018 | MA | Primary |
Addresses
Primary practice location
323 Ferguson Building
University of North Carolina at Greensboro
Greensboro, NC 27402
Mailing address
323 Ferguson Building
University of North Carolina at Greensboro
Greensboro, NC 27402
Phone (336) 334-9858
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 718018 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1609168459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 FERGUSON BUILDING",
"address_2": "UNIVERSITY OF NORTH CAROLINA AT GREENSBORO",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27402",
"telephone_number": "336-334-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 FERGUSON BUILDING",
"address_2": "UNIVERSITY OF NORTH CAROLINA AT GREENSBORO",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27402",
"telephone_number": "336-334-9858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDGREN",
"first_name": "KRISTINE",
"name_prefix": "Dr.",
"credential": "SC.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-12",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "718018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.