Active NPI
Kristina N Stroud, MCD, SLP
- Speech-Language Pathologist
- Rock Hill, SC
National Provider Identifier
1669805537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4877
- Practice address
- 1162 Richmond Dr
Rock Hill, SC 29732-3108 - Phone
- (803) 981-1930
- NPI assigned
- Aug 15, 2013
- 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 | 4877 | SC | Primary |
Addresses
Primary practice location
1162 Richmond Dr
Rock Hill, SC 29732-3108
Mailing address
1835 Eden Ter
Rock Hill, SC 29730-2604
Phone (803) 985-2255
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 |
|---|---|---|---|
| 4877 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1669805537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 EDEN TER",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297302604",
"telephone_number": "803-985-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1162 RICHMOND DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297323108",
"telephone_number": "803-981-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROUD",
"first_name": "KRISTINA",
"middle_name": "N",
"name_prefix": "Ms.",
"credential": "MCD, SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-15",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "4877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.