Active NPI
Kathryn Fountain Steele, PHD
- School Psychologist
- St Augustine, FL
National Provider Identifier
1316428683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1289
- Practice address
- 1733 Asturias St
St Augustine, FL 32080-5564 - Phone
- (678) 233-7474
- NPI assigned
- Aug 24, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 10505943 | OR | |
| School Psychologist | 103TS0200X | 385711 | NM | |
| School Psychologist | 103TS0200X | 707946 | GA | |
| School Psychologist | 103TS0200X | 1284206 | FL | |
| School Psychologist | 103TS0200X | 1289 | FL | Primary |
Addresses
Primary practice location
1733 Asturias St
St Augustine, FL 32080-5564
Mailing address
1733 Asturias St
St Augustine, FL 32080-5564
Phone (678) 233-7474
Other names 1
- Kathryn Fountain Moon
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1284206 | FL | MD | School Psychologist |
| 1289 | FL | MD | School Psychologist |
| 707946 | GA | MD | School Psychologist |
| 385711 | NM | MD | School Psychologist |
| 10505943 | OR | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1316428683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1733 ASTURIAS ST",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320805564",
"telephone_number": "678-233-7474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1733 ASTURIAS ST",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320805564",
"telephone_number": "678-233-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "KATHRYN",
"middle_name": "FOUNTAIN",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OR",
"license": "10505943",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NM",
"license": "385711",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "GA",
"license": "707946",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "1284206",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "1289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "MOON",
"middle_name": "FOUNTAIN",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.