Kristin Adair Lunde

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1161 Issued in ND

Practice address

645 33Rd Ave E
West Fargo, ND 58078-8074

Phone

(701) 478-7868

Fax

(701) 356-7005

NPI assigned

Nov 15, 2011

Last updated

Sep 5, 2019By the provider in NPPES

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 names 1

• Kristin Adair Soholt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1750668083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CROSS ST",
            "city": "BIG STONE CITY",
            "state": "SD",
            "postal_code": "572168237",
            "telephone_number": "605-541-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 33RD AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788074",
            "telephone_number": "701-478-7868",
            "fax_number": "701-356-7005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1307 7th St N",
            "address_purpose": "LOCATION",
            "city": "Wahpeton",
            "state": "ND",
            "postal_code": "580753624",
            "country_code": "US",
            "telephone_number": "701-642-6667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDE",
        "first_name": "KRISTIN",
        "middle_name": "ADAIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8760",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "SOHOLT",
            "middle_name": "ADAIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelby Lorentz
• Gregory M Lowenberg, DC
• Stacey Lucht, MSCCCSLP
• Betania Lugo
• Stephanie Lund
• Alex Lunneborg, PA-C
• Madison Lynch, BA PSYCHOLOGY
• David Lynum
• Ma's Touch, LLC
• Marlie Mae Maanum

• Speech-Language Pathologist in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.