Jane Kistler

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009274 Issued in CT

Practice address

120 Post Rd W
Suite 102a
Westport, CT 06880-4206

Phone

(203) 644-0332

Fax

(203) 834-1408

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1013251925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CHESTNUT HILL RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973501",
            "telephone_number": "203-644-0332",
            "fax_number": "203-834-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 POST RD W",
            "address_2": "SUITE 102A",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804206",
            "telephone_number": "203-644-0332",
            "fax_number": "203-834-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTLER",
        "first_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandip Khatri, DO
• Jane Khorosh, O.D.
• Nancy Etta Kiersh, CCC-SLP
• Katherine Echo Kim, D.AC, L.AC.
• Melissa Kinyon, MS, CCC, SLP
• Adrienne Klein
• Martin Harold Klein, PH.D.
• Norman R. Klein, PH.D.
• Rhonda Quain Klein, MD
• Marina Klimova, LMFT

• Clinical Social Worker in Westport, CT
• Providers in Westport, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.