Active NPI
Kristin Fields, RN, MSN, MA, CCC-SLP
- Speech-Language Pathologist
- Boulder, CO
National Provider Identifier
1376943415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0000566
- Practice address
- 8011 Fox Ridge Court
Boulder, CO 80301 - Phone
- (720) 938-0108
- Fax
- (970) 221-1073
- NPI assigned
- Aug 26, 2014
- 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 | 0000566 | CO | Primary |
Addresses
Primary practice location
8011 Fox Ridge Court
Boulder, CO 80301
Mailing address
8011 Fox Ridge CT
Boulder, CO 80301-5005
Phone (720) 938-0108
Other names 1
- Kristin Johnson
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)
- Enrolled
- Credentials
- Master of Arts, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000566 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1376943415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8011 FOX RIDGE CT",
"city": "BOULDER",
"state": "CO",
"postal_code": "803015005",
"telephone_number": "720-938-0108",
"fax_number": "970-221-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8011 FOX RIDGE COURT",
"city": "BOULDER",
"state": "CO",
"postal_code": "80301",
"telephone_number": "720-938-0108",
"fax_number": "970-221-1073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "KRISTIN",
"credential": "RN, MSN, MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-26",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "0000566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "JOHNSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.