Kristen Lee Kandzerski, LMT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

MT00982 Issued in RI

Practice address

5 Mechanic St
Hope Valley, RI 02832-2023

Phone

(401) 374-0834

NPI assigned

Jan 11, 2017

Last updated

Jan 17, 2017By the provider in NPPES

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": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1114463494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MECHANIC ST",
            "city": "HOPE VALLEY",
            "state": "RI",
            "postal_code": "028322023",
            "telephone_number": "401-374-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MECHANIC ST",
            "city": "HOPE VALLEY",
            "state": "RI",
            "postal_code": "028322023",
            "telephone_number": "401-374-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDZERSKI",
        "first_name": "KRISTEN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "RI",
            "license": "MT00982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Jason Heller, D.C.
• Frances Hinteregger, MD
• Alison Hoffman, RN
• Hope Valley Ambulance Squad Inc
• Hayley Jackson, APRN
• Sandra Kelley, PA
• KG Ranch Road Group Home
• Christine M King, LMHC-A
• David W Lawler, PA-C
• Laura Louise Lehrman, LICSW

• Community Health Worker in Hope Valley, RI
• Providers in Hope Valley, RI by specialty
• Community Health Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.