Active NPI
Kristen Morgan Goodrich, OTR
- Occupational Therapist
- Epping, NH
National Provider Identifier
1083835482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 131 Main St
Epping, NH 03042-2466 - Phone
- (978) 799-2580
- Fax
- (888) 965-8085
- NPI assigned
- May 1, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8636 | MA | |
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
131 Main St
Epping, NH 03042-2466
Mailing address
131 Main St
Epping, NH 03042-2466
Phone (978) 799-2580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2374 | Other | NH | LICENSE - STATE OF NH |
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 |
|---|---|---|---|
| 8636 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1083835482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 MAIN ST",
"city": "EPPING",
"state": "NH",
"postal_code": "030422466",
"telephone_number": "978-799-2580",
"fax_number": "888-965-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 MAIN ST",
"city": "EPPING",
"state": "NH",
"postal_code": "030422466",
"telephone_number": "978-799-2580",
"fax_number": "888-965-8085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODRICH",
"first_name": "KRISTEN",
"middle_name": "MORGAN",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "8636",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE - STATE OF NH",
"identifier": "2374",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Epping, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.