Kristin Joan Flynn Peters, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2009031637 Issued in MO

Practice address

315 Business Loop 70 W
Howard a. Rusk Rehabilitation Center, Health Psychology
Columbia, MO 65203-3248

Phone

(573) 882-8876

Fax

(573) 884-3518

NPI assigned

Aug 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kristin Joan Flynn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1699967976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7687",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652057687",
            "telephone_number": "573-882-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 BUSINESS LOOP 70 W",
            "address_2": "HOWARD A. RUSK REHABILITATION CENTER, HEALTH PSYCHOLOGY",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033248",
            "telephone_number": "573-882-8876",
            "fax_number": "573-884-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KRISTIN JOAN",
        "middle_name": "FLYNN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2009031637",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "FLYNN",
            "middle_name": "JOAN",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Jo Pescaglia, LPC
• Hannah D Pessina, MS, PLMFT
• Karin Sue Pestle, MS
• Elizabeth Peters, M.D.
• Jaclyn Peters
• Maureen Pamela Peters, FNP
• Anne E. Petersen, M.D.
• Ashley Peterson, RD
• Bradley Steinar Peterson, M.D.
• Brenda Peterson

• Clinical Psychologist in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.