Kristen J Desarro, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL008437 Issued in PA

Practice address

1118 Woodward Drive
Greensburg, PA 15601-6414

Phone

(724) 836-4424

Fax

(724) 836-4613

NPI assigned

Oct 2, 2012

Last updated

Dec 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kristen J Hnottavange Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Bethlehem, PA
  • NPI 1972147528

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1417208398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHAWNEE ROAD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45805",
            "telephone_number": "419-999-2030",
            "fax_number": "419-991-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 WOODWARD DRIVE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016414",
            "telephone_number": "724-836-4424",
            "fax_number": "724-836-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESARRO",
        "first_name": "KRISTEN",
        "middle_name": "J",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "HNOTTAVANGE",
            "middle_name": "J",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zoie Derkas, ATR-P, LAPC
• Dermatology Associates of Greensburg PC
• Linda Susan Desantis, PA-C
• Mark Desantis, PA-C
• Pamela Sue Desantis, MOTRL
• Aniellio N/a Destefano, BA
• Anthony Arthur Detore, EDD
• Detrick & Kelly Chiropractic Clinic Inc (East Otterman Chiropractic)
• Domonique M Detrick, DC
• Elizabeth L. Detschelt, M.D

• Speech-Language Pathologist in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.