Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristin Wietecha

Individual provider Speech-Language Pathologist · NPI 1902600877

Kristin Wietecha is a Qualified Speech Language Pathologist in Greenwood, Indiana. Graduated from New York Medical College in 2023, 3 years ago. Practices with Chn Jmh Ventures LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
3
Trained at
New York Medical College
Licensed in
IN
In the registry since
2025

Practice location Address checks out

3000 S State Road 135 Ste 110
Greenwood, IN 46143-9829
Phone: (317) 497-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 22007898A (IN)

Record details

NPI number1902600877
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2025
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025
Mailing address3000 S State Road 135, Greenwood, IN 46143-9825

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2023 (3 years in practice)
Group practice Chn Jmh Ventures Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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