Active NPI
Kristen Noelle Lirette
- Physical Therapist
- Augusta, GA
National Provider Identifier
1770116444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014271
- Practice address
- 950 15TH St
Augusta, GA 30901-2608 - Phone
- (706) 733-0188
- NPI assigned
- Feb 20, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014271 | GA | Primary |
Addresses
Primary practice location
950 15TH St
Augusta, GA 30901-2608
Mailing address
2326 Overton Rd
Augusta, GA 30904-3446
Phone (941) 812-1309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT014271 | Other | GA | PT LICENSE |
Other names 1
- Ms. Kristen Noelle Hagaman
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kristen.lirette@va.gov | Direct | Veterans Affairs |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT014271 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1770116444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2326 OVERTON RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309043446",
"telephone_number": "941-812-1309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012608",
"telephone_number": "706-733-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIRETTE",
"first_name": "KRISTEN",
"middle_name": "NOELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-20",
"last_updated": "2023-11-27",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT014271",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kristen.lirette@va.gov",
"affiliation": "Y",
"endpointDescription": "email address",
"affiliationName": "Veterans Affairs",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "950 15th St",
"city": "Augusta",
"state": "GA",
"country_code": "US",
"postal_code": "309012608",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "HAGAMAN",
"middle_name": "NOELLE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.