Kristin Peterson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146005279 Issued in IL

Practice address

1733 W Irving Park Rd Apt 321
Chicago, IL 60613-2561

Phone

(773) 983-2118

NPI assigned

Dec 23, 2008

Last updated

Dec 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kristin M. Peterson LTD

  • Speech-Language Pathologist
  • Chicago, IL
  • NPI 1407079205
  NPD (past) Authorized official

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1851537849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 W IRVING PARK RD APT 321",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132561",
            "telephone_number": "773-983-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 W IRVING PARK RD APT 321",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132561",
            "telephone_number": "773-983-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KRISTIN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-23",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146005279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalena Peterson, PSYD., LP
• Karen D. Peterson, APN/NP
• Kelly Peterson, AGPCNP-BC
• Kelly A Peterson
• Kristin Peterson, M.D.
• Kyle S Peterson, RN
• Lisa Peterson, LMFT
• Loann Peterson, MD
• Mara Berenice Peterson, RN
• Mary-Margaret Peterson, LSW

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.