Organization Active NPI

Kristina Marie Cotterman

  • Home Health Agency
  • Lake Worth, FL
National Provider Identifier
1568793792
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
SA 9960 Issued in FL
Legal business name
KRISTINA MARIE COTTERMAN
Practice address
6774 Athena Dr
Lake Worth, FL 33463
Phone
(561) 573-2123
NPI assigned
Jan 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Ms. Kristina Marie Cotterman, MA, CCC
Title
SLP
Phone
(561) 673-2123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X SA 9960 FL Primary

Addresses

Primary practice location

6774 Athena Dr
Lake Worth, FL 33463

Mailing address

6774 Athena Dr
Lake Worth, FL 33463-7286
Phone (561) 573-2123

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1568793792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6774 ATHENA DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637286",
            "telephone_number": "561-573-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6774 ATHENA DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33463",
            "telephone_number": "561-573-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA MARIE COTTERMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "COTTERMAN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "561-673-2123",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CCC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "SA 9960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.