Active NPI
Kristy Kierulff, BA
- Rehabilitation Practitioner
- Fullerton, CA
National Provider Identifier
1033432182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 801 E Chapman Ave
Fullerton, CA 92831-3839 - Phone
- (714) 680-9000
- NPI assigned
- Mar 3, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
801 E Chapman Ave
Fullerton, CA 92831-3839
Mailing address
100 E Valley View Dr
Fullerton, CA 92832-1321
Phone (714) 449-2163
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
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403827200000",
"number": "1033432182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E VALLEY VIEW DR",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321321",
"telephone_number": "714-449-2163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E CHAPMAN AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313839",
"telephone_number": "714-680-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIERULFF",
"first_name": "KRISTY",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-03",
"last_updated": "2014-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.