Kristen Pederson

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

231 Broadway Ave
Yankton, SD 57078-4240

Phone

(605) 660-5848

NPI assigned

Oct 23, 2015

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

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1215309786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 BROADWAY AVE",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 BROADWAY AVE",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784240",
            "telephone_number": "605-660-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra L Pagel, PSY.D.
• Venkata Siva Kumar Pajjuru, MD
• Brenda Patzlaff, RD, LN
• Krystal K. Paulson, MA, LPC, NCC
• Terence Scott Pedersen, DPM, FACFAS
• Linda Peitz
• Rachelle Peitz
• Robert Peitz, MA, LPC
• Abigail Peltier, MSW, LCSW, QHMP
• Danelle L Pennock, PSYD

• Massage Therapist in Yankton, SD
• Providers in Yankton, SD by specialty
• Massage Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.