Active NPI
Kristen Annalize Sussman
- Speech-Language Pathologist
- Waynesville, NC
National Provider Identifier
1366083982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15119
- Practice address
- 89 Waynesville PLZ # 1009
Waynesville, NC 28786-2990 - Phone
- (828) 222-3824
- Fax
- (828) 575-5874
- NPI assigned
- Oct 4, 2019
- 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 | 15119 | NC | Primary |
Addresses
Primary practice location
89 Waynesville PLZ # 1009
Waynesville, NC 28786-2990
Mailing address
823 McLean Ave
Royal Oak, MI 48067-3429
Phone (505) 412-1283
Other practice location 1
21000 E 12 Mile Rd Ste 111
Saint Clair Shores, MI 48081-1156
Phone (586) 779-7610
Other practice location 2
1951 Caleb Ave
Syracuse, NY 13206-2560
Phone (315) 218-7444
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Partners in OT, PT, and Speech-Language Pathology, PLLC | Current | 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.
-
- Early Intervention Provider Agency
- Syracuse, NY
- NPI 1194977363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1366083982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 MCLEAN AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673429",
"telephone_number": "505-412-1283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 WAYNESVILLE PLZ # 1009",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287862990",
"telephone_number": "828-222-3824",
"fax_number": "828-575-5874"
}
],
"practiceLocations": [
{
"address_1": "21000 E 12 Mile Rd Ste 111",
"address_purpose": "LOCATION",
"city": "Saint Clair Shores",
"state": "MI",
"postal_code": "480811156",
"country_code": "US",
"telephone_number": "586-779-7610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1951 Caleb Ave",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132062560",
"country_code": "US",
"telephone_number": "315-218-7444",
"fax_number": "315-218-7466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUSSMAN",
"first_name": "KRISTEN",
"middle_name": "ANNALIZE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "15119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waynesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.