Kristen Rachelle Carter, MS CCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP16142 Issued in CA

Practice address

3777 Long Beach Blvd Ste 400
Long Beach, CA 90807-3341

Phone

(714) 697-3700

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Learning Tree Therapy, Inc

  • Speech-Language Pathologist
  • Long Beach, CA
  • NPI 1497135214
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1700936994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 LONG BEACH BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073341",
            "telephone_number": "714-697-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 LONG BEACH BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073341",
            "telephone_number": "714-697-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KRISTEN",
        "middle_name": "RACHELLE",
        "name_prefix": "Mrs.",
        "credential": "MS CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2022-10-11",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7718",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP16142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "S2833",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS HMO",
            "identifier": "11950801",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "354949",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889558900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Christine Carter
• Brandi Carter, NP
• Christopher Carter
• Crishon Carter
• Jennette Carter
• Loren-Ashlee Carter, CNM
• Shechinah Glory Carter
• Victoria Carter
• Ana Luiza Cartmel, D.O.
• Tasha Latrice Cartwright

• Speech-Language Pathologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.