Active NPI
Kristina Bradley, MS CCC-SLP
- Speech-Language Pathologist
- Salem, MA
National Provider Identifier
1932502960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9197
- Practice address
- 1 Courageous CT
Unit 510
Salem, MA 01970-6665 - Phone
- (850) 544-4310
- NPI assigned
- Oct 5, 2014
- Last updated
- Oct 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 Pathologist | 235Z00000X | 9197 | MA | Primary |
Addresses
Primary practice location
1 Courageous CT
Unit 510
Salem, MA 01970-6665
Mailing address
1 Courageous CT
Unit 510
Salem, MA 01970-6665
Phone (850) 544-4310
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Verbal ABA Clinic, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412467200000",
"number": "1932502960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COURAGEOUS CT",
"address_2": "UNIT 510",
"city": "SALEM",
"state": "MA",
"postal_code": "019706665",
"telephone_number": "850-544-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COURAGEOUS CT",
"address_2": "UNIT 510",
"city": "SALEM",
"state": "MA",
"postal_code": "019706665",
"telephone_number": "850-544-4310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "KRISTINA",
"credential": "MS CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-05",
"last_updated": "2014-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "9197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.