Individual provider Active NPI

Kristen Lashawn Cain, LSSP

  • School Psychologist
  • Grand Prairie, TX
National Provider Identifier
1194226126
Registry record updated Feb 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
36411
Practice address
635 Jennifer TRL
Grand Prairie, TX 75052-3297
Phone
(214) 282-4947
NPI assigned
Feb 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2018

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 36411 Primary

Addresses

Primary practice location

635 Jennifer TRL
Grand Prairie, TX 75052-3297

Mailing address

635 Jennifer TRL
Grand Prairie, TX 75052-3297
Phone (214) 282-4947

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

NPI Registry JSON

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

{
    "created_epoch": "1519516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519516800000",
    "number": "1194226126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 JENNIFER TRL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523297",
            "telephone_number": "214-282-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 JENNIFER TRL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523297",
            "telephone_number": "214-282-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "KRISTEN",
        "middle_name": "LASHAWN",
        "credential": "LSSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-25",
        "last_updated": "2018-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": "36411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2018; 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.