MS. KRISTINA RENEE PEGRAM M.S.CCC-SLP
NPI 1215110275
Speech-Language Pathologist in Yorktown, VA

Q: What is Kristina Pegram's NPI number?

The NPI number for Kristina Pegram is 1215110275. It was assigned to this individual provider in the NPPES registry on December 13, 2007.

Q: What is Kristina Pegram's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristina Pegram was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 13, 2007Accepts Medicare Assignment

3540 VICTORY BLVD, YORKTOWN, VA 23693(757) 776-0736(757) 776-0737 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2024, Jun 29, 2018 (2 updates tracked since 2018).

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About Ms. Kristina Renee Pegram M.s.ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KRISTINA RENEE PEGRAM M.S.CCC-SLP (NPI 1215110275) is an individual speech-language pathologist provider in Yorktown, Virginia, licensed in Virginia (2202004684) and active in the NPI registry since December 2007. She maintains a secondary practice location in Heathrow and is a graduate of Other (2004).

NPPES Registry Identity

NPI1215110275

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMS. KRISTINA RENEE PEGRAMCredential: M.S.CCC-SLP

Location Address3540 VICTORY BLVDYorktown, VA 23693

Mailing Address3540 Victory BlvdYorktown, VA 23693-3641 · (757) 776-0736 · Fax (757) 776-0737

Phone(757) 776-0736

Fax(757) 776-0737

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateDecember 13, 2007

Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration

NPPES CertifiedJuly 3, 2024

✔ NPI 1215110275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in VA · 2202004684

Definition

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.

Also ListedRehabilitation PractitionerTaxonomy 225400000X · License 2202004684 (VA)

3540 VICTORY BLVD, Yorktown, VA 23693

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Secondary Practice Location 1

Location 11485 International PkwyHeathrow, FL 32746-5303 · Phone (800) 798-6035

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kristina Renee Pegram M.s.ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012228984

PECOS Enrollment IDI20150716001814

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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