Kristen Erin Comer, ITDS

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

3311 Beach Blvd
Jacksonville, FL 32207-3704

Phone

(904) 396-1462

Fax

(904) 396-1199

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

No

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669529632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 HOLLY BERRY LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322773654",
            "telephone_number": "904-745-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073704",
            "telephone_number": "904-396-1462",
            "fax_number": "904-396-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMER",
        "first_name": "KRISTEN",
        "middle_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "ITDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Thomas Combs, M.D.
• Katrina Combs
• Sheri L Combs, ARNP
• Sarah B Comeaux-Johnson, M.ED
• Judy Maynor Comeaux, ARNP
• Comerford Optometry Inc
• Lauren Comerford
• Matthew Comerford, O.D.
• Nicholas Parker Comerford, DMD
• Comfort Alf LLC

• Developmental Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.