Individual provider Active NPI

Kristi L Chessmore, PSYCHOLOGIST ASSOC.

  • School Psychologist
  • North Platte, NE
National Provider Identifier
1164040127
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
2016004627 Issued in NE
Practice address
306 W 4TH St
North Platte, NE 69101-3828
Phone
(308) 534-4872
NPI assigned
Jul 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 2016004627 NE Primary

Addresses

Primary practice location

306 W 4TH St
North Platte, NE 69101-3828

Mailing address

306 W 4TH St
North Platte, NE 69101-3828
Phone (308) 534-4872

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
2016004627NEMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Medicine Associates LLC CurrentSince Jul 12, 2020 Accepting new patients

Locations

306 W 4th St
North Platte, NE 69101
Phone (308) 534-4872

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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1164040127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W 4TH ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691013828",
            "telephone_number": "308-534-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W 4TH ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691013828",
            "telephone_number": "308-534-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESSMORE",
        "first_name": "KRISTI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PSYCHOLOGIST ASSOC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NE",
            "license": "2016004627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.