T & K Early Intervention

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

T & K EARLY INTERVENTION

Practice address

102 2ND Ave SW
Jamestown, ND 58401-4104

Phone

(701) 320-6488

Fax

(701) 252-6074

NPI assigned

Aug 28, 2019

Organization subpart

No

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

Authorized official

Name

Tristy CarrollNPI 1588766059

Title

Partner

Phone

(701) 252-6066

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tristy Lynn Carroll, SLP

  • Speech-Language Pathologist
  • Jamestown, ND
  • NPI 1588766059
  NPD Authorized official
• Kristy L. Lorenz, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Jamestown, ND
  • NPI 1447303656
  NPD (past)

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1427606003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584020532",
            "telephone_number": "701-320-6488",
            "fax_number": "701-252-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 2ND AVE SW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014104",
            "telephone_number": "701-320-6488",
            "fax_number": "701-252-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T & K EARLY INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "TRISTY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "701-252-6066"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stutsman County Social Services
• Catherine Suckow
• Lynne E. Sullivan, PH.D.
• Vita Garmai Sumo
• Darcy Swanson, PHARM.D.
• T & K Speech Language Services, Inc.
• Amy Beth Tahran, LPCC
• Codi Lyn Tahran, LAPC
• Innocent Tambwe
• Raymundo T Tan, M.D.

• Early Intervention Provider Agency in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Early Intervention Provider Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.