Kristen Sanders

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL006125L Issued in PA

Practice address

20 Michelle Dr
Hunlock Creek, PA 18621-2926

Phone

(570) 262-6850

NPI assigned

Apr 2, 2008

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

Practice roles

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.

• Support Services for Infants and Toddlers, P.C.

  • Occupational Therapist
  • Hunlock Creek, PA
  • NPI 1790809689

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1124290804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 TUNNEL RD",
            "city": "WHITE HAVEN",
            "state": "PA",
            "postal_code": "186613618",
            "telephone_number": "570-443-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MICHELLE DR",
            "city": "HUNLOCK CREEK",
            "state": "PA",
            "postal_code": "186212926",
            "telephone_number": "570-262-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006125L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Meeker, MPT
• Mindful Moments Pediatric Therapy & Wellness Center, LLC
• Denise Olack, D.M.D.
• Aleigha Brooke Parnell
• Amanda Leah Rodriguez Rogers
• Marisa L Schmidt, OTR/L
• Richelle Janai Steele, OTR/L
• Support Services for Infants and Toddlers, P.C.

• Speech-Language Pathologist in Hunlock Creek, PA
• Providers in Hunlock Creek, PA by specialty
• Speech-Language Pathologist in Pennsylvania

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