KRISTIN A IMMICKE MS, CCC-SLP
NPI 1730698150
Speech-Language Pathologist in West, TX

Q: What is Kristin Immicke's NPI number?

The NPI number for Kristin Immicke is 1730698150. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Q: What is Kristin Immicke'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 Kristin Immicke was last updated on September 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 September 28, 2017

1414 JANE LN, WEST, TX 76691(254) 224-7609(254) 224-7609 Get Directions Write a Review

NPPES record last updated: September 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kristin A Immicke Ms, Ccc-slp NPPES

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

KRISTIN A IMMICKE MS, CCC-SLP (NPI 1730698150) is an individual speech-language pathologist provider in West, Texas, licensed in Texas (111679) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1730698150

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKRISTIN A IMMICKECredential: MS, CCC-SLP

Location Address1414 JANE LNWest, TX 76691-1012

Mailing AddressPo Box 620West, TX 76691-0620 · (254) 224-7609

Phone(254) 224-7609

Fax(254) 224-7609

Sole ProprietorYes

Enumeration DateSeptember 28, 2017

✔ NPI 1730698150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code235Z00000X

License✔ Licensed in TX · 111679

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.

1414 JANE LN, West, TX 76691

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Immicke's NPI number?

The NPI number for Kristin Immicke is 1730698150. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Where is Kristin Immicke located?

Kristin Immicke practices at 1414 Jane Ln, West, TX 76691. The listed phone number is (254) 224-7609.

What is Kristin Immicke's specialty?

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

When was this NPI record last updated?

The NPPES record for Kristin Immicke was last updated on September 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.