Individual provider Active NPI

Kristin Leah Pisa

  • Specialist
  • White Plains, NY
National Provider Identifier
1326796830
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
114856 Issued in NY
Practice address
311 North St Ste 101
White Plains, NY 10605-2232
Phone
(914) 269-2172
Fax
(914) 269-2452
NPI assigned
Mar 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 114856 NY Primary

Addresses

Primary practice location

311 North St Ste 101
White Plains, NY 10605-2232

Mailing address

311 North St Ste 101
White Plains, NY 10605-2232
Phone (914) 269-2172

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
114856NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1326796830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 NORTH ST STE 101",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052232",
            "telephone_number": "914-269-2172",
            "fax_number": "914-269-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NORTH ST STE 101",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052232",
            "telephone_number": "914-269-2172",
            "fax_number": "914-269-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISA",
        "first_name": "KRISTIN",
        "middle_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "114856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.