Individual provider Active NPI

Kristin Ulrich, SLP

  • Speech-Language Pathologist
  • Oberlin, OH
National Provider Identifier
1669896429
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP6329 Issued in OH
Practice address
23 Eric Nord Way
Oberlin, OH 44074-1582
Phone
(440) 207-0576
NPI assigned
Feb 13, 2014
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-6329 OH
Speech-Language Pathologist 235Z00000X SP6329 OH Primary

Addresses

Primary practice location

23 Eric Nord Way
Oberlin, OH 44074-1582

Mailing address

29805 Electric Dr
Bay Village, OH 44140-1223
Phone (440) 864-6431

Other names 1

  • Kristin Gilland Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP-6329OHMDSpeech-Language Pathologist
SP6329OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Meadow Educational Services Speech-Language Pathologist CurrentSince Oct 1, 2024 Accepting new patients

Locations

23 Eric Nord Way
Ste 1
Oberlin, OH 44074
Phone (440) 207-0756

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1669896429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29805 ELECTRIC DR",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441401223",
            "telephone_number": "440-864-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ERIC NORD WAY",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741582",
            "telephone_number": "440-207-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "KRISTIN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP-6329",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP6329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "GILLAND",
            "credential": "SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oberlin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.