Individual provider Active NPI

Keriann Kriss

  • Speech-Language Pathologist
  • Greensburg, PA
National Provider Identifier
1962711317
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL010077 Issued in PA
Practice address
2904 Seminary Dr
Greensburg, PA 15601-3786
Phone
(724) 832-8272
Fax
(724) 836-6216
NPI assigned
Oct 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL010077 PA Primary

Addresses

Primary practice location

2904 Seminary Dr
Greensburg, PA 15601-3786

Mailing address

154 Delberta Rd
Lower Burrell, PA 15068-9718
Phone (412) 721-1092

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

State licenses

LicenseStateTypeSpecialty
SL010077PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1962711317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 DELBERTA RD",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150689718",
            "telephone_number": "412-721-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 SEMINARY DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013786",
            "telephone_number": "724-832-8272",
            "fax_number": "724-836-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISS",
        "first_name": "KERIANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.