Kristine E Andrew, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3445 Post Road
J Arthur Trudeau Memorial Center Attn Kim Ruelle HR
Warwick, RI 02886-7147

Phone

(401) 739-2700

Fax

(401) 737-8907

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Kristine Andrew Gothberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285706085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 POST ROAD",
            "address_2": "J ARTHUR TRUDEAU MEMORIAL CENTER ATTN KIM RUELLE HR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867147",
            "telephone_number": "401-739-2700",
            "fax_number": "401-737-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 POST ROAD",
            "address_2": "J ARTHUR TRUDEAU MEMORIAL CENTER ATTN KIM RUELLE HR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867147",
            "telephone_number": "401-739-2700",
            "fax_number": "401-737-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREW",
        "first_name": "KRISTINE",
        "middle_name": "E",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0177",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KC02260",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "4224",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "294096",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4600113",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "412372",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "GOTHBERG",
            "middle_name": "ANDREW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Andrade
• Joan Ann Andreozzi, PTA
• Mark Peter Andreozzi, D.O.
• Michael K Andreozzi, HIS
• Rocco Andreozzi IV
• Katherine Andrews, M.ED, LPC, LMHC, NCC
• Anesthesia Associates of Kent County
• Anesthesia Associates of Kent County
• Anesthesia Associates of Kent County, LLC
• Anesthesia Associates of Kent County, LLC

• All providers in Warwick, RI
• Speech-Language Pathologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.