Active NPI
Kirsten Little, M.S.
- Speech-Language Pathologist
- Bismarck, ND
National Provider Identifier
1518372010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1359
- Practice address
- 300 N 7TH St
Bismarck, ND 58501-4439 - Phone
- (701) 323-6176
- NPI assigned
- Jun 24, 2014
- Last updated
- Feb 6, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1359 | ND | Primary |
Addresses
Primary practice location
300 N 7TH St
Bismarck, ND 58501-4439
Mailing address
3060 Frontier Way S
Fargo, ND 58104-8909
Phone (701) 751-6336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1463439 | Medicaid | ND |
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517875200000",
"number": "1518372010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 FRONTIER WAY S",
"city": "FARGO",
"state": "ND",
"postal_code": "581048909",
"telephone_number": "701-751-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N 7TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014439",
"telephone_number": "701-323-6176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "KIRSTEN",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2018-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "1359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1463439",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.