Individual provider Active NPI

Christina Lee-Kriz Deleeuw, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Coon Rapids, MN
National Provider Identifier
1689775165
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7751 Issued in MN
Practice address
300 Coon Rapids Blvd NW
Suite #200
Coon Rapids, MN 55433-5643
Phone
(763) 767-0854
Fax
(763) 862-6533
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 7751 MN Primary

Addresses

Primary practice location

300 Coon Rapids Blvd NW
Suite #200
Coon Rapids, MN 55433-5643

Mailing address

741 Park Brook Rd
Isanti, MN 55040-7039
Phone (763) 712-9490

Other identifiers 2

IdentifierTypeStateIssuer
HP45789OtherMNHEALTH PARTNERS
213G3KROtherMNBLUE CROSS BLUE SHIELD

Other names 1

  • Christina Kriz 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7751MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Group East, LLC Past Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Organizations & group practices 2

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1689775165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 PARK BROOK RD",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550407039",
            "telephone_number": "763-712-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COON RAPIDS BLVD NW",
            "address_2": "SUITE #200",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335643",
            "telephone_number": "763-767-0854",
            "fax_number": "763-862-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEEUW",
        "first_name": "CHRISTINA",
        "middle_name": "LEE-KRIZ",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "7751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP45789",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "213G3KR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "KRIZ",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.