NPIMap

Organization Active NPI

Kinera Foundation, Inc

  • Speech-Language Pathologist
  • Stevensville, MD
National Provider Identifier
1912359035
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KINERA FOUNDATION, INC
Practice address
115 Sallitt Dr
Suite C
Stevensville, MD 21666-2156
Phone
(443) 249-3126
NPI assigned
Jul 13, 2016
Last updated
Jul 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Christy Russell
Title
President
Phone
(443) 249-3126

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 06759 MD
Speech-Language Pathologist 235Z00000X MD Primary

Addresses

Primary practice location

115 Sallitt Dr
Suite C
Stevensville, MD 21666-2156

Mailing address

115 Sallitt Dr
Suite C
Stevensville, MD 21666-2156
Phone (443) 249-3126

National Provider Directory

National Provider Directory
Tax ID family
Kinera Foundation Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

115 Sallitt Dr
Stevensville, MD 21666
Phone (443) 249-3126

115 Sallitt Dr
#C
Stevensville, MD 21666
Phone (443) 249-3126

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1912359035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SALLITT DR",
            "address_2": "SUITE C",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662156",
            "telephone_number": "443-249-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SALLITT DR",
            "address_2": "SUITE C",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662156",
            "telephone_number": "443-249-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINERA FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-249-3126"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06759",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.