Organization Active NPI

Kids Speak Therapy Services

  • Hearing and Speech Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1891411047
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
KIDS SPEAK THERAPY SERVICES
Practice address
3538 Bristers Spring Run
Fort Wayne, IN 46815-6285
Phone
(260) 615-0783
NPI assigned
Oct 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Mrs. Kathryn M Kroemer, MA-CCC-SLP
Title
Owner
Phone
(260) 615-0783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

3538 Bristers Spring Run
Fort Wayne, IN 46815-6285

Mailing address

3538 Bristers Spring Run
Fort Wayne, IN 46815-6285
Phone (260) 615-0783

Other identifiers 1

IdentifierTypeStateIssuer
300060770MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kidsspeak1@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1891411047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3538 BRISTERS SPRING RUN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468156285",
            "telephone_number": "260-615-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3538 BRISTERS SPRING RUN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468156285",
            "telephone_number": "260-615-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS SPEAK THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "KROEMER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-615-0783",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA-CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300060770",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kidsspeak1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3538 Bristers Spring Run",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468156285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.