Kristin Caroline Ford, REGISTERED RECOVERY

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

6500 Morro Rd
Atascadero, CA 93422-4142

Phone

(805) 461-5212

Fax

(805) 461-5873

NPI assigned

Jan 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346390994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 CENTRAL AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545713",
            "telephone_number": "805-925-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 MORRO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224142",
            "telephone_number": "805-461-5212",
            "fax_number": "805-461-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "KRISTIN",
        "middle_name": "CAROLINE",
        "name_prefix": "Ms.",
        "credential": "REGISTERED RECOVERY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Bruce Fisher, RPH
• Cynthia A Fletcher
• Shanna Flinders-Flaten
• Janet Floyd, MA
• Patsy Jane Folauoo
• Raymond Monte Ford, L.C.S.W.
• Lauren Forsytheblackburn
• Ryan Forth
• Molly Florence Fowler
• Theresa Fraser, PH.D.

• Addiction (Substance Use Disorder) Counselor in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.