Active NPI
Kamie Fessenden
- Developmental Therapist
- Salem, MA
National Provider Identifier
1306342829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 275 Lafayette St
Salem, MA 01970-5404 - Phone
- (978) 744-7037
- Fax
- (978) 741-8175
- NPI assigned
- Apr 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
275 Lafayette St
Salem, MA 01970-5404
Mailing address
52 Matthies St
Beverly, MA 01915-2448
Phone (978) 335-3639
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": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1306342829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 MATTHIES ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019152448",
"telephone_number": "978-335-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 LAFAYETTE ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019705404",
"telephone_number": "978-744-7037",
"fax_number": "978-741-8175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FESSENDEN",
"first_name": "KAMIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-03",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.