Individual provider Active NPI

Kristen Annalize Sussman

  • Speech-Language Pathologist
  • Waynesville, NC
National Provider Identifier
1366083982
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15119 Issued in NC
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

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Therapy Partners in OT, PT, and Speech-Language Pathology, PLLC CurrentSince Nov 3, 2024 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": "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.

Verify at the official NPI Registry.