Active NPI
Kristin Edlund, MS SLP
- Speech-Language Pathologist
- Bronx, NY
National Provider Identifier
1942579123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 021571
- Practice address
- 725 Brady Ave
Bronx, NY 10462-2701 - Phone
- (718) 824-7350
- NPI assigned
- Dec 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 021571 | NY | Primary |
Addresses
Primary practice location
725 Brady Ave
Bronx, NY 10462-2701
Mailing address
335 N Midland Ave
Nyack, NY 10960-1526
Phone (845) 216-0753
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021571 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1942579123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 N MIDLAND AVE",
"city": "NYACK",
"state": "NY",
"postal_code": "109601526",
"telephone_number": "845-216-0753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 BRADY AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104622701",
"telephone_number": "718-824-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDLUND",
"first_name": "KRISTIN",
"credential": "MS SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-18",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "021571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.