KRISTI LAUREN NICOLE WILLIAMS (CCC-SLP) – Speech-Language Pathologist, NPI 1891127072

KRISTI LAUREN NICOLE WILLIAMS (CCC-SLP) is a healthcare provider. based in Cerritos, California. specializing in Speech-Language Pathologist. They hold the professional credentials CCC-SLP. They hold a License No. SP 21767 (CA). The NPI Number for KRISTI LAUREN NICOLE WILLIAMS (CCC-SLP) is 1891127072

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KRISTI LAUREN NICOLE WILLIAMS (CCC-SLP)
NPI
1891127072
Phone
(855) 901-7742
Address
11360 183RD ST
Enumeration Date
30 July 2013
Last Update Date
2 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7146394990
Graduation Year
2012 (14 years ago)
PAC ID
8325267883
Group Practice PAC ID
5698686871
Professional Enrollment ID
I20140915001996
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for KRISTI LAUREN NICOLE WILLIAMS (CCC-SLP)

  • 11360 183RD ST

    CERRITOS, CA 907035419

    Phone: (855) 901-7742

    Fax: (562) 809-8497

    Type: Location

  • 1301 W PROVIDENCE AVE

    ORANGE, CA 928683808

    Phone: (855) 901-7742

    Fax: (714) 639-2282

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-09-15

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140915001996IQualified Speech Language PathologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698686871View full group profile

Reviews

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Frequently asked questions

Can I verify KRISTI LAUREN NICOLE WILLIAMS (CCC-SLP) with an NPI only?
You can start verification with NPI 1891127072 for KRISTI LAUREN NICOLE WILLIAMS (CCC-SLP), then check state licensing separately.
Is KRISTI LAUREN NICOLE WILLIAMS (CCC-SLP) still practicing?
KRISTI LAUREN NICOLE WILLIAMS (CCC-SLP) is currently listed as active in the public NPI registry.
What taxonomy line describes KRISTI LAUREN NICOLE WILLIAMS (CCC-SLP)?
For research purposes, treat KRISTI LAUREN NICOLE WILLIAMS (CCC-SLP) as Speech-Language Pathologist in this dataset. Clinical services aligned with this taxonomy classification.
Does KRISTI LAUREN NICOLE WILLIAMS (CCC-SLP) list a practice location?
Patients near Cerritos, California may find KRISTI LAUREN NICOLE WILLIAMS (CCC-SLP) in results; validate coverage separately.
Why does KRISTI LAUREN NICOLE WILLIAMS (CCC-SLP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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