Individual provider Active NPI

Kristy Lee Burns

  • Speech-Language Pathologist
  • Norwell, MA
National Provider Identifier
1336784024
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9815 Issued in MA
Practice address
76 Accord Park Dr
Norwell, MA 02061-1606
Phone
(781) 923-0900
NPI assigned
Nov 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP01319 RI
Speech-Language Pathologist 235Z00000X 9815 MA Primary

Addresses

Primary practice location

76 Accord Park Dr
Norwell, MA 02061-1606

Mailing address

12 Caswell Ave Apt 3
Newport, RI 02840-5808
Phone (401) 523-6428

Other practice location 1

1006 Charles St Ste 102
North Providence, RI 02904-5075
Phone (401) 523-6428

Other practice location 2

855 Waterman Ave Ste B
East Providence, RI 02914-1700
Phone (401) 359-4898

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
SP01319RIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Speech, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1336784024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CASWELL AVE APT 3",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028405808",
            "telephone_number": "401-523-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 ACCORD PARK DR",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611606",
            "telephone_number": "781-923-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 Charles St Ste 102",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029045075",
            "country_code": "US",
            "telephone_number": "401-523-6428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 Waterman Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029141700",
            "country_code": "US",
            "telephone_number": "401-359-4898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "KRISTY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-17",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP01319",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "9815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.