Individual provider Active NPI

Christina Ann Iwachiw, MACCCSLP

  • Speech-Language Pathologist
  • Schererville, IN
National Provider Identifier
1881814622
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22002979 Issued in IN
Practice address
221 US Highway 41
Ste G
Schererville, IN 46375-1277
Phone
(219) 322-2037
Fax
(219) 322-9787
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 22002979 IN Primary

Addresses

Primary practice location

221 US Highway 41
Ste G
Schererville, IN 46375-1277

Mailing address

8220 Crestwood Ave
Munster, IN 46321-1412
Phone (219) 972-0424

Other identifiers 1

IdentifierTypeStateIssuer
200643380OtherINFIRST STEPS PROVIDER

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

State licenses

LicenseStateTypeSpecialty
22002979INMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881814622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 CRESTWOOD AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211412",
            "telephone_number": "219-972-0424",
            "fax_number": "219-322-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 US HIGHWAY 41",
            "address_2": "STE G",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751277",
            "telephone_number": "219-322-2037",
            "fax_number": "219-322-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWACHIW",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "credential": "MACCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22002979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS PROVIDER",
            "identifier": "200643380",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

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