Individual provider Active NPI

Kristen Davis, CF, SLP

  • Speech-Language Pathologist
  • Westminster, MD
National Provider Identifier
1710467089
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
511 Jermor LN Ste 102
Westminster, MD 21157-6152
Phone
(410) 871-2494
NPI assigned
Aug 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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 Primary

Addresses

Primary practice location

511 Jermor LN Ste 102
Westminster, MD 21157-6152

Mailing address

2323 Arthur Ave
Silver Spring, MD 20902-5601
Phone (727) 415-0074

Other names 1

  • Kristen Davis Schwandes Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230913001101 MD Practitioner - Qualified Speech Language Pathologist 0547624371 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therafit Enterprises, Inc. Speech-Language Pathologist Current Accepting new patients
Therafit Enterprises, Inc. Speech-Language Pathologist CurrentSince Aug 4, 2023 Accepting new patients

Locations

1220 E Joppa Rd
Ste 109
Towson, MD 21286
Phone (410) 415-1992

511 Jermor Ln
Ste 102
Westminster, MD 21157
Phone (410) 415-1992

Organizations & group practices 2

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": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1710467089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 ARTHUR AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025601",
            "telephone_number": "727-415-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 JERMOR LN STE 102",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576152",
            "telephone_number": "410-871-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KRISTEN",
        "credential": "CF, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "SCHWANDES",
            "middle_name": "DAVIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.