Kristin J Vanderpool

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

526 Poinsettia Ave
Inverness, FL 34452-4549

Phone

(352) 220-1002

NPI assigned

May 19, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1558224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558224000000",
    "number": "1588220164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 POINSETTIA AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524549",
            "telephone_number": "352-220-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 POINSETTIA AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524549",
            "telephone_number": "352-220-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPOOL",
        "first_name": "KRISTIN",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-19",
        "last_updated": "2019-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van Tran
• Gisela Trigo, MD
• Robert Ulseth, MD
• Elizabeth M Underwood, LMHC
• V Rama Nathan MD PA
• Crystal Michelle Vanleeuwen, ARNP
• Felice R Vargas
• Christina Vaughan, APRN
• Abhijith Chowdary Vemulapalli, MBBS
• Vera Assisted Living Facilities Florida LLC

• Behavior Technician in Inverness, FL
• Providers in Inverness, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2019; 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.