Kristin Thomas Dorris, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4247 Issued in TN

Practice address

2107 Park Plaza Dr
Lower Level
Springfield, TN 37172-3937

Phone

(615) 382-0500

Fax

(615) 382-0501

NPI assigned

Apr 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Springfield Pediatric Therapy Center PLLC

  • Specialist
  • Springfield, TN
  • NPI 1639303142
  NPD (past)

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1811286370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 GARNER ST",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722331",
            "telephone_number": "615-382-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 PARK PLAZA DR",
            "address_2": "LOWER LEVEL",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723937",
            "telephone_number": "615-382-0500",
            "fax_number": "615-382-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORRIS",
        "first_name": "KRISTIN",
        "middle_name": "THOMAS",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Dillon
• Ashley Dodd, OTR/L
• Donald J. Boatright MD., PC
• Barry T Dority
• Jason D Dority
• Mysti Drinkwater, OTR/L
• DRS. Reed & Wilkerson
• Lori Leeann Duncan
• Zeva Ruth Edmondson
• Timothy Leon Edwards, PTA

• Speech-Language Pathologist in Springfield, TN
• Providers in Springfield, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.