Individual provider Active NPI

Kristina Zannis Duplantis, BCBA, SLPA

  • Specialist
  • St Petersburg, FL
National Provider Identifier
1548615636
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
5175 45TH St N
St Petersburg, FL 33714-2266
Phone
(727) 748-4060
NPI assigned
Apr 26, 2016
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Speech-Language Assistant 2355S0801X SI2544 FL
Specialist 174400000X Primary

Addresses

Primary practice location

5175 45TH St N
St Petersburg, FL 33714-2266

Mailing address

5175 45TH St N
Saint Petersburg, FL 33714-2266
Phone (727) 748-4060

Other identifiers 1

IdentifierTypeStateIssuer
019877300MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
SI2544FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Excellerated Teaching Center CurrentSince Dec 28, 2022 Accepting new patients
Independent Living Inc. Behavior Analyst PastSince Feb 1, 2020 Accepting new patients
Independent Living Inc. Behavior Analyst PastSince Nov 26, 2023 Accepting new patients

Locations

5175 45th St N
St Petersburg, FL 33714
Phone (727) 748-4060

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1548615636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 45TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337142266",
            "telephone_number": "727-748-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 45TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142266",
            "telephone_number": "727-748-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPLANTIS",
        "first_name": "KRISTINA",
        "middle_name": "ZANNIS",
        "name_prefix": "Ms.",
        "credential": "BCBA, SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI2544",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019877300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.