Individual provider Active NPI

Kristen Schafer Pearce, M.S.

  • Speech-Language Pathologist
  • Auburn, NY
National Provider Identifier
1669638177
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
018336 Issued in NY
Practice address
101 Pulaski St
Auburn, NY 13021-1797
Phone
(315) 255-8760
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 018336 NY Primary

Addresses

Primary practice location

101 Pulaski St
Auburn, NY 13021-1797

Mailing address

1 Sweetwater Way
Auburn, NY 13021-1119
Phone (315) 246-9976

Other practice location 1

1951 Caleb Ave
Syracuse, NY 13206-2560
Phone (315) 218-7444

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
018336NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Partners in OT, PT, and Speech-Language Pathology, PLLC PastSince Nov 3, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1669638177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SWEETWATER WAY",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211119",
            "telephone_number": "315-246-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PULASKI ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211797",
            "telephone_number": "315-255-8760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 Caleb Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132062560",
            "country_code": "US",
            "telephone_number": "315-218-7444",
            "fax_number": "315-218-7466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "KRISTEN",
        "middle_name": "SCHAFER",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.