KRISTEN ALICE BLACK (NPI# 1639672728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639672728 |
| Entity Type | Individual |
| Full Name | KRISTEN ALICE BLACK |
| Credential | CCC-SLP |
| Practice Address |
21585 Peabody St Leonardtown MD 20650-2955 |
| Mailing Address |
4 Elena Ct Medford NJ 08055-9175 |
| Practice Telephone | 3014758000 |
| Mailing Telephone | 6097603921 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 09410 | MD | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982965034 | Kristen Haas Black | Obstetrics & Gynecology | 3723 W 12600 S Ste 360, Riverton, UT 84065-7296 | 2012-06-05 |
| 1912334996 | Kristen Black | Occupational Therapist | 6317 Highway 329, Crestwood, KY 40014-9040 | 2013-10-04 |
| 1013223148 | Kristen Black | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2010-08-26 |
| 1073656211 | Kristen Black | Occupational Therapist | 401 Locust St, 2a, Coraopolis, PA 15108-3954 | 2007-02-15 |
| Street Address |
21585 PEABODY ST |
| City | LEONARDTOWN |
| State | MD |
| Zip Code | 20650-2955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013037563 | Karen L. Swiger | Occupational Therapist | 21585 Peabody St, Leonardtown, MD 20650-2955 | 2007-03-29 |
| 1326646746 | William Ross Howsare | Physical Therapy Assistant | 21585 Peabody St, Leonardtown, MD 20650-2955 | 2020-10-16 |
| 1861960734 | Flagship Rehabilitation, Inc | Occupational Therapist | 21585 Peabody St, Leonardtown, MD 20650-2955 | 2018-11-08 |
| 1003381120 | Agnes Ridgell | Occupational Therapist | 21585 Peabody St, Leonardtown, MD 20650-2955 | 2018-10-04 |
| 1255707261 | Kathleen Barrett | Occupational Therapist | 21585 Peabody St, Leonardtown, MD 20650-2955 | 2015-08-12 |
| 1184049439 | Rameez Mirza | Physical Therapist | 21585 Peabody St, Leonardtown, MD 20650-2955 | 2014-02-24 |
| 1659707966 | Rajarajeswaran Palanisamy | Physical Therapist | 21585 Peabody St, Leonardtown, MD 20650-2955 | 2013-09-18 |
| 1134422298 | Michelle Angelique Tiemann | Occupational Therapist | 21585 Peabody St, Leonardtown, MD 20650 | 2010-12-13 |
| 1184847899 | Lisa Maria Hanson | Physical Therapy Assistant | 21585 Peabody St, Leonardtown, MD 20650-2955 | 2007-04-11 |
| 1598887424 | Jennifer Lynn Hall | Occupational Therapy Assistant | 21585 Peabody St, Leonardtown, MD 20650-2955 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831665819 | Delahay Healthcare Services LLC | Home Health Aide | 40001 Stillwater Ln, Leonardtown, MD 20650 | 2018-10-17 |
| 1891241519 | Aaron Dailey | Pharmacist | 40955 Merchant Lane, Leonardtown, MD 20650 | 2016-09-01 |
| 1720483936 | Joy Jay, Inc | Dentist | 41630 Courthouse Dr., Leonardtown, MD 20650 | 2014-10-30 |
| 1497092605 | Deborah Ann Duley | Social Worker | 41660 Courthouse Drive, Suite 201c, Leonardtown, MD 20650 | 2013-01-08 |
| 1962757104 | Sense-ability, LLC | Occupational Therapy Assistant | 41680 Miss Bessie Dr Ste 103, Leonardtown, MD 20650 | 2012-07-13 |
| 1578876264 | Belitehorizonmedicalcenter | Psychiatry & Neurology | 26825 Pointlook Out Road, Stee, Leonardtown, MD 20650 | 2010-07-22 |
| 1043544497 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 41680 Courthouse Dr, Leonardtown, MD 20650 | 2009-10-01 |
| 1487892899 | Valentina Savel | Nurse Anesthetist, Certified Registered | 25500 Pt Lookout Rd, Leonardtown, MD 20650 | 2009-01-23 |
| 1174786362 | Henry Todd Allen | Dentist | 22690 Washington Street, Leonardtown, MD 20650 | 2008-07-08 |
| 1487813192 | St Mar's County Dept of Human Services | Public Health or Welfare | 23115 Leonard Hall Drive, Department of Human Services, Leonardtown, MD 20650 | 2008-06-06 |
| Find all providers in zip 20650 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033752977 | Nicole Burke | Speech-Language Pathologist | 22885 Duke St, Leonardtown, MD 20650-3818 | 2019-10-23 |
| 1679919906 | Chelsea Ann Schultz | Speech-Language Pathologist | 23595 Hayden Farm Ln, Leonardtown, MD 20650-5887 | 2013-05-14 |
| 1477833671 | Gwendolyn Seltzer | Speech-Language Pathologist | 25480 Point Lookout Rd Fl 2, Leonardtown, MD 20650-3801 | 2011-08-19 |
| 1306459912 | Paige Stanley | Speech-Language Pathologist | 22885 Duke St, Leonardtown, MD 20650-3818 | 2020-08-25 |
| 1033765904 | Crystal Koran | Speech-Language Pathologist | 25480 Point Lookout Rd, Leonardtown, MD 20650-3801 | 2019-08-15 |
| 1548739584 | Kamala Kay Carlsen | Speech-Language Pathologist | 23160 Moakley St, Leonardtown, MD 20650-2922 | 2018-11-20 |
| 1538638051 | Cynthia J Kilcoyne | Speech-Language Pathologist | 23160 Moakley St, Leonardtown, MD 20650-2922 | 2018-11-14 |
| 1841693843 | Elizabeth Dana Peeler | Speech-Language Pathologist | 41680 Miss Bessie Dr, Leonardtown, MD 20650-2906 | 2014-10-03 |
| 1043650146 | Anna Elizabeth Decker | Speech-Language Pathologist | 41680 Miss Bessie Dr, Suite 103, Leonardtown, MD 20650-2906 | 2013-07-03 |
| 1912271362 | Jill Robinson | Speech-Language Pathologist | 41680 Miss Bessie Dr, Suite 304, Leonardtown, MD 20650-2906 | 2012-03-02 |
| Find all providers in LEONARDTOWN | ||||
| City | LEONARDTOWN |
| Zip Code | 20650 |
Please comment or provide details below to improve the information on KRISTEN ALICE BLACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.