Individual provider Active NPI

Kristina M Waring, CCC-SLP

  • Speech-Language Pathologist
  • Anchorage, AK
National Provider Identifier
1659402659
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
160 Issued in AK
Practice address
5660 B St
Anchorage, AK 99518-1641
Phone
(907) 205-4751
Fax
(907) 802-4520
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 160 AK Primary

Addresses

Primary practice location

5660 B St
Anchorage, AK 99518-1641

Mailing address

6200 Golden Wood LN
Anchorage, AK 99516-5015
Phone (907) 529-0332

Other identifiers 3

IdentifierTypeStateIssuer
160OtherAKSTATE LICENSE NUMBER
2207616OtherAKDBA WARING WELLNESS AK BUSINESS LICENSE
09147660OtherAKASHA CERTIFICATION

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

LicenseStateTypeSpecialty
160AKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Asthma and Immunology Center of Alaska LLC PastSince Oct 3, 2015 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1659402659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 GOLDEN WOOD LN",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995165015",
            "telephone_number": "907-529-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 B ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181641",
            "telephone_number": "907-205-4751",
            "fax_number": "907-802-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARING",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "160",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBA WARING WELLNESS AK BUSINESS LICENSE",
            "identifier": "2207616",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATION",
            "identifier": "09147660",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.