Marcianne Kristof

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202009657 Issued in VA

Practice address

6901 Sharpsburg Dr
Centreville, VA 20121-2519

Phone

(412) 377-0253

NPI assigned

Sep 9, 2020

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

State licenses

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1861007684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 SHARPSBURG DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 SHARPSBURG DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212519",
            "telephone_number": "412-377-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTOF",
        "first_name": "MARCIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Young Su Kim
• Yulee Kim, L.AC,DOM
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• Shannon Noel Klee, CD(DONA)
• Beverly M. Knott, CNS
• Priyam Kumar, DDS
• Sarvalakshmi Kurella, M.D.
• Alyssa Kurtiak, DC
• Kvas Inc.
• Hyue Kyung Kwon, DDS

• Speech-Language Pathologist in Centreville, VA
• Providers in Centreville, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.