Individual provider Active NPI

Kristi L Senter, SPEECH-LANGUAGE PATH

  • Speech-Language Pathologist
  • Iuka, MS
National Provider Identifier
1013152271
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S2306 Issued in MS
Practice address
1309 Battleground Dr
Iuka, MS 38852-1042
Phone
(662) 423-2633
Fax
(662) 423-2988
NPI assigned
Dec 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S2306 MS Primary

Addresses

Primary practice location

1309 Battleground Dr
Iuka, MS 38852-1042

Mailing address

1309 Battleground Dr
Iuka, MS 38852-1042
Phone (662) 423-2633

Other identifiers 1

IdentifierTypeStateIssuer
S2306OtherMSSPEECH LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S2306MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Care Rehab Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1013152271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 BATTLEGROUND DR",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521042",
            "telephone_number": "662-423-2633",
            "fax_number": "662-423-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 BATTLEGROUND DR",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521042",
            "telephone_number": "662-423-2633",
            "fax_number": "662-423-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENTER",
        "first_name": "KRISTI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "SPEECH-LANGUAGE PATH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S2306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH  LICENSE",
            "identifier": "S2306",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iuka, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.