Active NPI
Kristin A Todd, PA
- Physician Assistant
- Salem, MA
National Provider Identifier
1417909581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2052
- Practice address
- 5 Paradise Rd
Salem, MA 01970-4229 - Phone
- (978) 691-5690
- Fax
- (978) 691-5693
- NPI assigned
- May 17, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2052 | MA | Primary |
Addresses
Primary practice location
5 Paradise Rd
Salem, MA 01970-4229
Mailing address
280 Merrimack St Ste 311
Lawrence, MA 01843-1779
Phone (978) 691-5690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512518400000",
"number": "1417909581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 MERRIMACK ST STE 311",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431779",
"telephone_number": "978-691-5690",
"fax_number": "978-691-5693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PARADISE RD",
"city": "SALEM",
"state": "MA",
"postal_code": "019704229",
"telephone_number": "978-691-5690",
"fax_number": "978-691-5693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "KRISTIN",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2017-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "2052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.