Individual provider Active NPI

Kristin M Reed

  • Speech-Language Pathologist
  • Falmouth, ME
National Provider Identifier
1295067585
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 2064 Issued in ME
Practice address
50 Depot Rd
Falmouth, ME 04105-1211
Phone
(207) 781-8881
Fax
(207) 781-8855
NPI assigned
Feb 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X ST 1972 ME
Speech-Language Pathologist 235Z00000X SP 2064 ME Primary

Addresses

Primary practice location

50 Depot Rd
Falmouth, ME 04105-1211

Mailing address

50 Depot Rd
Falmouth, ME 04105-1211
Phone (207) 781-8881

Other identifiers 2

IdentifierTypeStateIssuer
SP 2064OtherMETHERAPY LICENSE NUMBER
ST 1972OtherMETHERAPY LICENSE NUMBER

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
SP 2064MEMDSpeech-Language Pathologist
ST 1972MEMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1295067585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DEPOT RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051211",
            "telephone_number": "207-781-8881",
            "fax_number": "207-781-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 DEPOT RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051211",
            "telephone_number": "207-781-8881",
            "fax_number": "207-781-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "ST 1972",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP 2064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPY LICENSE NUMBER",
            "identifier": "SP 2064",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPY LICENSE NUMBER",
            "identifier": "ST 1972",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.