Active NPI
Kristin Michelle Beswick
- School Psychologist
- Derby Line, VT
National Provider Identifier
1043992696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 8023040
- Practice address
- 28 Sunset Terrace Ext
Derby Line, VT 05830-8701 - Phone
- (602) 316-2426
- NPI assigned
- Aug 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 8023040 | VT | Primary |
Addresses
Primary practice location
28 Sunset Terrace Ext
Derby Line, VT 05830-8701
Mailing address
28 Sunset Terrace Ext
Derby Line, VT 05830-8701
Phone (602) 316-2426
Other names 1
- Miss Kristin Michelle Didas
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8023040 | VT | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1043992696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 SUNSET TERRACE EXT",
"city": "DERBY LINE",
"state": "VT",
"postal_code": "058308701",
"telephone_number": "602-316-2426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 SUNSET TERRACE EXT",
"city": "DERBY LINE",
"state": "VT",
"postal_code": "058308701",
"telephone_number": "602-316-2426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESWICK",
"first_name": "KRISTIN",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-03",
"last_updated": "2023-08-03",
"certification_date": "2023-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VT",
"license": "8023040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "DIDAS",
"middle_name": "MICHELLE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Derby Line, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.