Individual provider Active NPI

Kionna Redd, CPS

  • Peer Specialist
  • Washington, DC
National Provider Identifier
1104700434
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
214 Issued in DC
Practice address
700 Pennsylvania Ave SE FL 2
Washington, DC 20003-2493
Phone
(888) 963-1828
NPI assigned
Jul 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 214 DC Primary

Addresses

Primary practice location

700 Pennsylvania Ave SE FL 2
Washington, DC 20003-2493

Mailing address

55 Court St Ste 220B
Boston, MA 02108-2104
Phone (888) 963-1828

Other practice location 1

55 Court St Ste 220B
Boston, MA 02108-2104
Phone (888) 963-1828

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
214DCMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Tech Inc Peer Specialist CurrentSince Aug 3, 2025 Accepting new patients

Locations

700 Pennsylvania Ave SE
Fl 2
Washington, DC 20003
Phone (202) 446-1085

55 Court St
Ste 220B
Boston, MA 02108
Phone (857) 957-6820

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": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1104700434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 COURT ST STE 220B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082104",
            "telephone_number": "888-963-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PENNSYLVANIA AVE SE FL 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032493",
            "telephone_number": "888-963-1828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Court St Ste 220B",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021082104",
            "country_code": "US",
            "telephone_number": "888-963-1828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDD",
        "first_name": "KIONNA",
        "credential": "CPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "DC",
            "license": "214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.