Active NPI
Kristin Marie Shumann, M.S.ED.
- Orientation and Mobility Training Rehabilitation Counselor
- Moline, IL
National Provider Identifier
1124260997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orientation and Mobility Training Rehabilitation Counselor
- License
- 2306452
- Practice address
- 507 29TH Ave
Moline, IL 61265-5932 - Phone
- (309) 797-2719
- NPI assigned
- Mar 25, 2009
- 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 |
|---|---|---|---|---|
| Orientation and Mobility Training Rehabilitation Counselor | 225CX0006X | 2306452 | IL | Primary |
Addresses
Primary practice location
507 29TH Ave
Moline, IL 61265-5932
Mailing address
507 29TH Ave
Moline, IL 61265-5932
Phone (309) 797-2719
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 |
|---|---|---|---|
| 2306452 | IL | MD | Orientation and Mobility Training Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237939200000",
"number": "1124260997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 29TH AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612655932",
"telephone_number": "309-797-2719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 29TH AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612655932",
"telephone_number": "309-797-2719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMANN",
"first_name": "KRISTIN",
"middle_name": "MARIE",
"credential": "M.S.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-25",
"last_updated": "2009-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225CX0006X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
"state": "IL",
"license": "2306452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.