Active NPI
Kristy Lyn Antonacci, M.S., CF-SLP
- Speech-Language Pathologist
- Barre, VT
National Provider Identifier
1962920439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 144.0132438PROV
- Practice address
- 98 Hospitality Dr
Barre, VT 05641-5360 - Phone
- (802) 229-0308
- NPI assigned
- Sep 6, 2017
- 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 | 144.0132438PROV | VT | Primary |
Addresses
Primary practice location
98 Hospitality Dr
Barre, VT 05641-5360
Mailing address
13 Foster St Apt 3
Barre, VT 05641-4608
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144.0132438PROV | VT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504656000000",
"number": "1962920439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 FOSTER ST APT 3",
"city": "BARRE",
"state": "VT",
"postal_code": "056414608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 HOSPITALITY DR",
"city": "BARRE",
"state": "VT",
"postal_code": "056415360",
"telephone_number": "802-229-0308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONACCI",
"first_name": "KRISTY",
"middle_name": "LYN",
"name_prefix": "Miss",
"credential": "M.S., CF-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-06",
"last_updated": "2017-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "VT",
"license": "144.0132438PROV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.