Individual provider Active NPI

Kristen M Symansky, DO

  • Pediatrics Physician
  • Manchester, NH
National Provider Identifier
1366953218
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23962 Issued in NH
Practice address
275 Mammoth Rd Ste 2
Manchester, NH 03109-4135
Phone
(603) 663-8300
Fax
(603) 663-8149
NPI assigned
Oct 18, 2017
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X 147571 AK
Pediatrics Physician 208000000X 0102207206 VA
Pediatrics Physician 208000000X 23962 NH Primary

Addresses

Primary practice location

275 Mammoth Rd Ste 2
Manchester, NH 03109-4135

Mailing address

275 Mammoth Rd Ste 2
Manchester, NH 03109-4135
Phone (603) 663-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824001428 NH Practitioner - Pediatric Medicine 5395173280 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Physicians Network Pediatrics CurrentSince Aug 14, 2023 Accepting new patients
Elliot Physicians Network Pediatrics PastSince Jan 28, 2024 Accepting new patients

Locations

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222

275 Mammoth Rd
Ste 2
Manchester, NH 03109
Phone (603) 663-8300

4 Elliot Way
Ste 105
Manchester, NH 03103
Phone (603) 626-5113

Interoperability endpoints

  • Direct secure messaging: ksymansky1184760@ak.providencedirect.org
  • Direct secure messaging: ksymansky155602@direct.solutionhealth.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1366953218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MAMMOTH RD STE 2",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031094135",
            "telephone_number": "603-663-8300",
            "fax_number": "603-663-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MAMMOTH RD STE 2",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031094135",
            "telephone_number": "603-663-8300",
            "fax_number": "603-663-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMANSKY",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AK",
            "license": "147571",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102207206",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "23962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.