Kristen Beardsley

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

377 Main St
Center Moriches, NY 11934-3524

Phone

(631) 874-0571

NPI assigned

Jan 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Out East Therapy of New York for OT, PT, SLP, RN and Psychology Servic

  • Early Intervention Provider Agency
  • Center Moriches, NY
  • NPI 1649414723
  NPD (past)

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1467818351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1312",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119347312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 MAIN ST",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343524",
            "telephone_number": "631-874-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDSLEY",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lauren Adams, LPN
• Eran Arvilli, DDS
• Shannon Raechel Austin, R.N.
• Martha Christine Baker, D.M.D.
• Melanie Bamberger, COTA/L
• Dana Berge, LMSW
• Pramod Bhanti, PT
• Jaclyn Marie Bonventre
• Amanda Loree Bowcock, LMHC
• Patricia M Brandt

• Case Manager/Care Coordinator in Center Moriches, NY
• Providers in Center Moriches, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.