Healthcare Provider Details

I. General information

NPI: 1073442695
Provider Name (Legal Business Name): KRISTINA BRITT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1761 MATHE DR
CARSON CITY NV
89701-4891
US

IV. Provider business mailing address

1761 MATHE DR
CARSON CITY NV
89701-4891
US

V. Phone/Fax

Practice location:
  • Phone: 650-996-6458
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP-1165
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: