Kriste Ann Barnes-Perrin, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-1124 Issued in ID

Practice address

23 East 1St Street North
Middleton, ID 83644

Phone

(208) 585-6678

NPI assigned

Feb 9, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Spa Communication, LLC

  • Speech-Language Pathologist
  • Middleton, ID
  • NPI 1487077046
  NPD (past) Authorized official

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1497087951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 EAST 1ST STREET NORTH",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "83644",
            "telephone_number": "208-585-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 EAST 1ST STREET NORTH",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "83644",
            "telephone_number": "208-585-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES-PERRIN",
        "first_name": "KRISTE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF OCCUPATIONAL LICENSE SLP",
            "identifier": "SLP-1124",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Middleton, ID
• Providers in Middleton, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.