Kristen Damm

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01019900 Issued in NJ

Practice address

1064 S Main St BLDG 2C
West Creek, NJ 08092-2914

Phone

(609) 488-2650

Fax

(609) 488-2651

NPI assigned

Nov 22, 2019

Sex

Female

Sole proprietor

No

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)

Enrolled

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.

• Just Speechie LLC

  • Hearing and Speech Clinic/Center
  • Manahawkin, NJ
  • NPI 1366227753
  NPD (past)

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1831735000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 S MAIN ST BLDG 2C",
            "city": "WEST CREEK",
            "state": "NJ",
            "postal_code": "080922914",
            "telephone_number": "609-488-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 S MAIN ST BLDG 2C",
            "city": "WEST CREEK",
            "state": "NJ",
            "postal_code": "080922914",
            "telephone_number": "609-488-2650",
            "fax_number": "609-488-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMM",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01019900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Elizabeth Brooks
• Cedar Run Orthodontics, PA
• CM Rehabilitation Services PC
• Lindsay Combs
• Karen L Cooney, MA, CHHC
• Steve W Damon
• Marc Dinapoli
• Colette Euksuzian, MA CF-SLP
• Amanda Eursery
• Family Promise of the Jersey Shore

• Speech-Language Pathologist in West Creek, NJ
• Providers in West Creek, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.