Individual provider Active NPI

Kristen Skonberg Fernandez, MCD, CCC-SLP

  • Speech-Language Pathologist
  • New Orleans, LA
National Provider Identifier
1689284069
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7936 Issued in LA
Practice address
2620 Jena St FL 2
New Orleans, LA 70115-6325
Phone
(504) 222-2447
NPI assigned
Jul 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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 2202009628 VA
Speech-Language Pathologist 235Z00000X 7936 LA Primary

Addresses

Primary practice location

2620 Jena St FL 2
New Orleans, LA 70115-6325

Mailing address

2620 Jena St FL 2
New Orleans, LA 70115-6325
Phone (504) 222-2447

Other names 1

  • Ms. Kristen Alexa Skonberg Former 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7936LAMDMassage Therapist
2202009628VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spark Pediatric Therapy Speech-Language Pathologist Current Accepting new patients

Locations

2620 Jena St
Fl 2
New Orleans, LA 70115
Phone (504) 222-2447

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": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1689284069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 JENA ST FL 2",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156325",
            "telephone_number": "504-222-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 JENA ST FL 2",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156325",
            "telephone_number": "504-222-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "KRISTEN",
        "middle_name": "SKONBERG",
        "name_prefix": "Mrs.",
        "credential": "MCD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009628",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "7936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "SKONBERG",
            "middle_name": "ALEXA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.