Active NPI
Kristen Schafer Pearce, M.S.
- Speech-Language Pathologist
- Auburn, NY
National Provider Identifier
1669638177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 018336
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 018336 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Partners in OT, PT, and Speech-Language Pathology, PLLC | Past | 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.
-
- Early Intervention Provider Agency
- Syracuse, NY
- NPI 1194977363
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.