Active NPI
Kristi Roser
- Speech-Language Pathologist
- Deerfield, IL
National Provider Identifier
1922562958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.014614
- Practice address
- 707 Lake Cook Rd Ste 314
Deerfield, IL 60015-4933 - Phone
- (866) 815-6592
- NPI assigned
- Jan 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.014614 | IL | Primary |
Addresses
Primary practice location
707 Lake Cook Rd Ste 314
Deerfield, IL 60015-4933
Mailing address
950 Lee St Ste 210
Des Plaines, IL 60016-6574
Other practice location 1
917 Sherwood Dr Ste 201
Lake Bluff, IL 60044-2235
Phone (866) 815-6592
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146.014614 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1922562958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 LEE ST STE 210",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600166574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 LAKE COOK RD STE 314",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600154933",
"telephone_number": "866-815-6592"
}
],
"practiceLocations": [
{
"address_1": "917 Sherwood Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Lake Bluff",
"state": "IL",
"postal_code": "600442235",
"country_code": "US",
"telephone_number": "866-815-6592",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSER",
"first_name": "KRISTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-23",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.014614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.