Kristina Renee Pegram, M.S.CCC-SLP
NPI 1215110275ActiveIndividual· Speech-Language Pathologist· Yorktown, VA
Speech-Language Pathologist (M.S.CCC-SLP) with Functional Pathways Preferred of Tennessee LLC, practicing in Yorktown, Virginia. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1215110275 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S.CCC-SLP |
| Sole proprietor | No |
| NPI issued | Dec 13, 2007 |
| Last updated in NPPES | Jul 3, 2024 |
| Certified by provider | Jul 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 2202004684 | VA |
| Rehabilitation Practitioner | 225400000X | 2202004684 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (VA) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Functional Pathways Preferred of Tennessee LLCNorthbrook, IL · 196 clinicians
Other speech-language pathologists in Yorktown
- 1134064934
- 1225702129
- 1225984321
- 1902570203
- 1912248303
- 1871191031
- 1063910065
- 1720586555
- 1003426404
- 1205304284
- 1023853066
- 1275978363
All 32 speech-language pathologists in Yorktown · All speech-language pathologists in Virginia