Active NPI
Kiyomi Katherine Andrada
- Speech-Language Assistant
- Glastonbury, CT
National Provider Identifier
1831564178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- Practice address
- 173 Long Hill Dr
Glastonbury, CT 06033-4500 - Phone
- (860) 335-2323
- NPI assigned
- Dec 12, 2015
- 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 |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | CT | Primary |
Addresses
Primary practice location
173 Long Hill Dr
Glastonbury, CT 06033-4500
Mailing address
173 Long Hill Dr
Glastonbury, CT 06033-4500
Phone (860) 335-2323
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449878400000",
"number": "1831564178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 LONG HILL DR",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334500",
"telephone_number": "860-335-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 LONG HILL DR",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334500",
"telephone_number": "860-335-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRADA",
"first_name": "KIYOMI",
"middle_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-12",
"last_updated": "2015-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.