Kristin Desmarais

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

78536-SP-SL Issued in MA

Practice address

100 Cummings Ctr Ste 350G
Beverly, MA 01915-6136

Phone

(978) 712-0003

Fax

(866) 258-7586

NPI assigned

Jul 19, 2022

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Peer Projects, LLC

  • Speech-Language Pathologist
  • Beverly, MA
  • NPI 1649416942
  NPD (past)
• Applied Behavioral Interventions, Psychology, PT, OT, SLP, LMSW, PLLC.

  • Behavior Analyst
  • Brooklyn, NY
  • NPI 1346589215

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1811622202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MAPLEWOOD AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028892717",
            "telephone_number": "401-525-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 350G",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156136",
            "telephone_number": "978-712-0003",
            "fax_number": "866-258-7586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 W Natick Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861161",
            "country_code": "US",
            "telephone_number": "800-679-3609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESMARAIS",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP01729",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "78536-SP-SL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP LICENSE",
            "identifier": "78536-SP-SL",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne Deramo, LCSW
• S Lawson Derby, M.D.
• James Michael Desantis, BA
• Cassandra Desimone, DPT
• Samantha Desisto, LMHC
• Donna Desmond
• Leanne Deterra, RN
• Elizabeth C. Devlin, MD
• Jennifer Lee Devlin
• Cinthia Diaz-Ramirez

• Speech-Language Pathologist in Beverly, MA
• Providers in Beverly, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.