Active NPI
Kristina Bridget Nissen, OTR
- Occupational Therapist
- Oregon, OH
National Provider Identifier
1124225891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3909
- Practice address
- 904 Isaac Streets Dr
Oregon, OH 43616-3204 - Phone
- (419) 691-2483
- NPI assigned
- Jun 27, 2007
- Last updated
- Jul 8, 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 | 3909 | OH | Primary |
Addresses
Primary practice location
904 Isaac Streets Dr
Oregon, OH 43616-3204
Mailing address
21267 W Curtice E and W Rd
Curtice, OH 43412-9604
Phone (419) 836-5743
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 |
|---|---|---|---|
| 3909 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124225891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21267 W CURTICE E AND W RD",
"city": "CURTICE",
"state": "OH",
"postal_code": "434129604",
"telephone_number": "419-836-5743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 ISAAC STREETS DR",
"city": "OREGON",
"state": "OH",
"postal_code": "436163204",
"telephone_number": "419-691-2483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISSEN",
"first_name": "KRISTINA",
"middle_name": "BRIDGET",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "3909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon, OH
- Neil Saunders DPM
- Maureen Nelson, DO
- Emma Kay Newble, CNP
- Susan Newton, MD
- Nicole Leigh Niese, PA-C
- Vijit Nopkhun, M.D.
- Northwest Ohio Pain Management Associates, LTD.
- Northwest Ohio Primary Care Physicians, Inc
- Northwest Ohio Primary Care Physicians, Inc.
- Northwest Ohio Primary Care Physicians, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.