Individual provider Active NPI

Kristen Beth Fournier, M.A., C.A.S.

  • School Psychologist
  • Pueblo West, CO
National Provider Identifier
1427646991
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
324005 Issued in CO
Practice address
595 S Rogers Dr
Pueblo West, CO 81007-1693
Phone
(518) 521-5928
NPI assigned
Jan 9, 2021
Last updated
Jan 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 2685191 NY
School Psychologist 103TS0200X 324005 CO Primary

Addresses

Primary practice location

595 S Rogers Dr
Pueblo West, CO 81007-1693

Mailing address

595 S Rogers Dr
Pueblo West, CO 81007-1693
Phone (518) 521-5928

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristen.fournier@presencelearning.com Health Information Exchange (HIE)

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
324005COMDSchool Psychologist
2685191NYMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1427646991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 S ROGERS DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810071693",
            "telephone_number": "518-521-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 S ROGERS DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810071693",
            "telephone_number": "518-521-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "KRISTEN",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "M.A., C.A.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "2685191",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CO",
            "license": "324005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen.fournier@presencelearning.com",
            "affiliation": "N",
            "endpointDescription": "Professional Contact",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "595 S Rogers Dr",
            "city": "Pueblo West",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810071693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pueblo West, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.