Carolyn Christian, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

255-154 Issued in WI

Practice address

725 W Park Ave
Chippewa Falls, WI 54729-3276

Phone

(715) 720-2157

NPI assigned

Sep 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Cesa 10

  • Local Education Agency (LEA)
  • Chippewa Falls, WI
  • NPI 1942686779
  NPD (past)
• Colby School District

  • Local Education Agency (LEA)
  • Colby, WI
  • NPI 1770861247
  NPD (past)

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1740438357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W PARK AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293276",
            "telephone_number": "715-720-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W PARK AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293276",
            "telephone_number": "715-720-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "CAROLYN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "255-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42663800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chippewa Valley Physical Therapy SC
• Chippewa Valley Wound Care, LLC
• Chiro One Wellness Center of Chippewa Falls, LLC
• Thomas Patrick Chisholm, M.D.
• Courtney L Christensen, OTR
• Christman Dental, LTD
• Blane Christman, DDS
• Rena J. Christman, DMD
• Sirin Chundu, DDS
• Desiree Ciokiewicz, SAC

• Speech-Language Pathologist in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.