Individual provider Active NPI

Kerstin Peters, M.S.

  • Speech-Language Pathologist
  • Bethlehem, NH
National Provider Identifier
1568895191
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1565 Issued in NH
Practice address
423 Blaney Rd
Bethlehem, NH 03574-4304
Phone
(603) 616-5880
NPI assigned
Aug 19, 2013
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X P-0556 NH
Speech-Language Pathologist 235Z00000X 1565 NH Primary

Addresses

Primary practice location

423 Blaney Rd
Bethlehem, NH 03574-4304

Mailing address

423 Blaney Rd
Bethlehem, NH 03574-4304
Phone (603) 616-5880

Other practice location 1

2 Pillsbury St
Ste 404
Concord, NH 03301-3523
Phone (603) 228-7827

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
P-0556NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Swing for the Stars Pediatric Therapy Center, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1568895191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 BLANEY RD",
            "city": "BETHLEHEM",
            "state": "NH",
            "postal_code": "035744304",
            "telephone_number": "603-616-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 BLANEY RD",
            "city": "BETHLEHEM",
            "state": "NH",
            "postal_code": "035744304",
            "telephone_number": "603-616-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Pillsbury St",
            "address_2": "Ste 404",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033013523",
            "country_code": "US",
            "telephone_number": "603-228-7827",
            "fax_number": "603-228-7828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KERSTIN",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "P-0556",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.