Active NPI
Kristen Prosser
- Speech-Language Pathologist
- Kelford, NC
National Provider Identifier
1316434699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 3734 Governors Rd
Kelford, NC 27847-9404 - Phone
- (252) 344-7621
- NPI assigned
- Apr 22, 2018
- Last updated
- Apr 22, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
3734 Governors Rd
Kelford, NC 27847-9404
Mailing address
476 Nahunta Rd
Pikeville, NC 27863-8651
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12924 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524355200000",
"number": "1316434699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "476 NAHUNTA RD",
"city": "PIKEVILLE",
"state": "NC",
"postal_code": "278638651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3734 GOVERNORS RD",
"city": "KELFORD",
"state": "NC",
"postal_code": "278479404",
"telephone_number": "252-344-7621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSSER",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-22",
"last_updated": "2018-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kelford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.