Individual provider Active NPI

Kristen Ann Lanctot

  • Medical Art Specialist/Technologist
  • Cumberland, RI
National Provider Identifier
1679165799
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X
License
TA00900 Issued in RI
Practice address
2364 Diamond Hill Rd
Cumberland, RI 02864-4739
Phone
(401) 764-8556
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Art Specialist/Technologist 246ZA2600X TA00900 RI Primary

Addresses

Primary practice location

2364 Diamond Hill Rd
Cumberland, RI 02864-4739

Mailing address

100 Spring Water Dr
Woonsocket, RI 02895-4967
Phone (401) 432-4976

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
TA00900RIMDMedical Art Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677888000000",
    "number": "1679165799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPRING WATER DR",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954967",
            "telephone_number": "401-432-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 DIAMOND HILL RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028644739",
            "telephone_number": "401-764-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCTOT",
        "first_name": "KRISTEN",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": "RI",
            "license": "TA00900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2023; 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.