Kim Rist Consulting, Inc
Organization Active NPI Specialist · Stillwater, NY
NPI 1306369541 · NPPES record last updated Jul 19, 2017
Key facts
- NPI
- 1306369541
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 120667489 (NY)
- Legal business name
- KIM RIST CONSULTING, INC
- Practice address
- 1018 Hudson Avenue
Stillwater, NY 12170 - Phone
- (518) 573-1138
- NPI assigned
- Jul 19, 2017
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kimberly J. Rist, MSED, SPECIAL INSTRU
- Title
- Special Education Teacher
- Phone
- (518) 573-1138
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 120667489 | NY | Yes |
Addresses
Primary practice location
1018 Hudson Avenue
Stillwater, NY 12170
Mailing address
1018 Hudson Avenue
Stillwater, NY 12170
Phone (518) 573-1138
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03777626 | Medicaid | NY |
Other providers in Stillwater, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.