Individual provider Active NPI

Kristina M Rossignoll

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Peabody, MA
National Provider Identifier
1639777535
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
2081S0010X Issued in CT
Practice address
14 Rutledge Rd
Peabody, MA 01960-3424
Phone
(978) 587-6979
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 2081S0010X CT Primary

Addresses

Primary practice location

14 Rutledge Rd
Peabody, MA 01960-3424

Mailing address

14 Rutledge Rd
Peabody, MA 01960-3424
Phone (978) 535-1042

Other practice location 1

275 Mount Carmel Ave
Hamden, CT 06518-1961
Phone (978) 587-6979

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
2081S0010XCTMDSports Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1639777535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RUTLEDGE RD",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603424",
            "telephone_number": "978-535-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RUTLEDGE RD",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603424",
            "telephone_number": "978-587-6979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Mount Carmel Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065181961",
            "country_code": "US",
            "telephone_number": "978-587-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSIGNOLL",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CT",
            "license": "2081S0010X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.