Active NPI
Kristie St Pierre, SLP
- Speech-Language Pathologist
- Salisbury, MD
National Provider Identifier
1427207562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10070
- Practice address
- 540 Riverside Dr Ste 4
Salisbury, MD 21801-5352 - Phone
- (410) 739-4596
- NPI assigned
- Sep 12, 2008
- Last updated
- Aug 11, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10070 | MD | Primary |
| Speech-Language Pathologist | 235Z00000X | LL00003481 | WA |
Addresses
Primary practice location
540 Riverside Dr Ste 4
Salisbury, MD 21801-5352
Mailing address
540 Riverside Dr
Salisbury, MD 21801-5352
Phone (410) 739-4596
Other practice location 1
8301 161st Ave NE
Redmond, WA 98052-3858
Phone (425) 882-4347
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10070 | MD | MD | Speech-Language Pathologist |
| LL00003481 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radia Inc P S | Past | 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, 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": "1221177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1427207562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 RIVERSIDE DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015352",
"telephone_number": "410-739-4596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 RIVERSIDE DR STE 4",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015352",
"telephone_number": "410-739-4596"
}
],
"practiceLocations": [
{
"address_1": "8301 161st Ave NE",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "WA",
"postal_code": "980523858",
"country_code": "US",
"telephone_number": "425-882-4347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ST PIERRE",
"first_name": "KRISTIE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-12",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "10070",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00003481",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.