KRISTINE C MATTHIAS CCC-SLP NPI 1306241005

NPI Information

NPI: 1306241005
Provider Name: KRISTINE C MATTHIAS, CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
156 S DOSSETT DRIVE
JOHNSON CITY, TN
ZIP 37614
Phone: (423) 439-4355
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Kristine C Matthias, CCC-SLP is a speech language pathologist in Johnson City, TN. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Kristine C Matthias, CCC-SLP NPI is 1306241005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

156 S DOSSETT DRIVE
JOHNSON CITY, TN
ZIP 37614-702
Phone: (423) 439-4355
Fax: (423) 439-4607

The enumeration date for this NPI number is 10/24/2014 and was last updated on 4/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	235Z00000X	Speech-Language Pathologist		5349	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103I150988	MEDICARE PIN	TENNESSEE
2	5349	OTHER	TENNESSEE	ST LICENSE
3	Q009051	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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