Active NPI
Kristine Patricia Trockels, ND
- Occupational Therapist
- Fair Oaks, CA
National Provider Identifier
1033266499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3359
- Practice address
- 9712 Fair Oaks Blvd Ste A1
Fair Oaks, CA 95628-7032 - Phone
- (916) 526-7071
- NPI assigned
- Jan 5, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3359 | AZ | Primary |
Addresses
Primary practice location
9712 Fair Oaks Blvd Ste A1
Fair Oaks, CA 95628-7032
Mailing address
4961 Hillhurst Dr
Fair Oaks, CA 95628-4250
Phone (916) 526-7071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 967375 | Medicaid | AZ |
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 |
|---|---|---|---|
| 3359 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455235200000",
"number": "1033266499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4961 HILLHURST DR",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956284250",
"telephone_number": "916-526-7071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9712 FAIR OAKS BLVD STE A1",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956287032",
"telephone_number": "916-526-7071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROCKELS",
"first_name": "KRISTINE",
"middle_name": "PATRICIA",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2016-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "3359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "967375",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.