Kristin Wietecha

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22007898A Issued in IN

Practice address

3000 S State Road 135 Ste 110
Greenwood, IN 46143-9829

Phone

(317) 497-6000

NPI assigned

Apr 1, 2025

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

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

New York Medical College, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CHN JMH Ventures LLCGroup PAC ID 3870728512, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• CHN JMH Ventures LLC

  • Physical Therapist
  • Greenwood, IN
  • NPI 1902242084

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• CHN JMH Ventures LLC

  • Radiology Clinic/Center
  • Greenwood, IN
  • NPI 1134564016
  NPD

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1902600877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 S STATE ROAD 135",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S STATE ROAD 135 STE 110",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439829",
            "telephone_number": "317-497-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIETECHA",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22007898A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dante Whitton, RBT
• Heather Wiand, MA, BCBA
• Spencer Wichert, DC
• Chelsey Marie Wicker, NP-C
• Brendon Widau, DPT, PT
• Natalie Wigand
• Wigs We Care
• Jeremy J Wilber, MD
• Cody B Wilburn, PT, DPT
• Wilfrido M. Tinio MD

• Speech-Language Pathologist in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.