Active NPI
Christina Marie Kummer, OTR
- Occupational Therapist
- Hastings, MN
National Provider Identifier
1083899892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 102242
- Practice address
- 85 Pleasant
Regina Medical Center YMCA Location Out PT Clinic
Hastings, MN 55033 - Phone
- (651) 480-4168
- Fax
- (651) 480-4339
- NPI assigned
- Dec 31, 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 | 102242 | MN | Primary |
| Occupational Therapist | 225X00000X | 986732 | MD |
Addresses
Primary practice location
85 Pleasant
Regina Medical Center YMCA Location Out PT Clinic
Hastings, MN 55033
Mailing address
1175 Ninniger Rd
Regina Medical Center
Hastings, MN 55033
Phone (651) 480-4100
Other names 1
- Ms. Christina Marie McCullough
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 |
|---|---|---|---|
| 986732 | MD | MD | Occupational Therapist |
| 102242 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Past | Accepting new patients |
Interoperability endpoints
- ckummer168278@excellian.direct.allina.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199059200000",
"number": "1083899892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 NINNIGER RD",
"address_2": "REGINA MEDICAL CENTER",
"city": "HASTINGS",
"state": "MN",
"postal_code": "55033",
"telephone_number": "651-480-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 PLEASANT",
"address_2": "REGINA MEDICAL CENTER YMCA LOCATION OUT PT CLINIC",
"city": "HASTINGS",
"state": "MN",
"postal_code": "55033",
"telephone_number": "651-480-4168",
"fax_number": "651-480-4339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMMER",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-31",
"last_updated": "2007-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "102242",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "986732",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "MCCULLOUGH",
"middle_name": "MARIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hastings, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.