Active NPI
Kirsten Endacott
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1962945758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 012109
- Practice address
- 511 7TH Ave
Brooklyn, NY 11215-6126 - Phone
- (718) 965-1190
- NPI assigned
- Nov 28, 2016
- 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 | 012109 | NY | Primary |
Addresses
Primary practice location
511 7TH Ave
Brooklyn, NY 11215-6126
Mailing address
511 7TH Ave
Brooklyn, NY 11215-6126
Phone (718) 965-1190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012109 | Other | NY | 235Z00000X |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 012109 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1962945758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 7TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112156126",
"telephone_number": "718-965-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 7TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112156126",
"telephone_number": "718-965-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDACOTT",
"first_name": "KIRSTEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-28",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "012109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "235Z00000X",
"identifier": "012109",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
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- Elise Encarnacion, DOCTOR OF PHARMACY
- Encompass Medical Wellness, P.C.
- Encore Licensed Behavior Analyst PLLC
- Encourage and Praise LLC
- Henny Enden
- Endless Care Agency LLC
- Endocrinology Diabetes and Thyroid, PLLC
- Endodontic Associates at Hanson Place, P. C.
- Endodontic Associates of Brooklyn Heights, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.