Individual provider Active NPI

Kirsten Slominski, MOT, OTR/L

  • Occupational Therapist
  • Cavalier, ND
National Provider Identifier
1114239084
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1209 Issued in ND
Practice address
106 Division Ave N
Suite B
Cavalier, ND 58220-4408
Phone
(701) 265-8080
NPI assigned
Jul 8, 2010
Last updated
Mar 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4624 AZ
Occupational Therapist 225X00000X 1209 ND Primary
Occupational Therapist 225X00000X 104172 MN

Addresses

Primary practice location

106 Division Ave N
Suite B
Cavalier, ND 58220-4408

Mailing address

1806 2ND Ave N
Grand Forks, ND 58203-3308
Phone (218) 791-3819

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

LicenseStateTypeSpecialty
104172MNMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1114239084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 2ND AVE N",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582033308",
            "telephone_number": "218-791-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 DIVISION AVE N",
            "address_2": "SUITE B",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "582204408",
            "telephone_number": "701-265-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOMINSKI",
        "first_name": "KIRSTEN",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "4624",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1209",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cavalier, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.