Active NPI
Joan D Kierstead
- Developmental Therapist
- Whitefield, ME
National Provider Identifier
1609000264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 15 Grand Army Rd
Whitefield, ME 04353-3546 - Phone
- (207) 549-5019
- NPI assigned
- May 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
15 Grand Army Rd
Whitefield, ME 04353-3546
Mailing address
PO Box 171
Whitefield, ME 04353-0171
Phone (207) 549-5019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135600000 | Medicaid | ME |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1609000264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 171",
"city": "WHITEFIELD",
"state": "ME",
"postal_code": "043530171",
"telephone_number": "207-549-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 GRAND ARMY RD",
"city": "WHITEFIELD",
"state": "ME",
"postal_code": "043533546",
"telephone_number": "207-549-5019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIERSTEAD",
"first_name": "JOAN",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-12",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135600000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whitefield, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.