Active NPI
Kristen Elizabeth Meinecke, MS OT
- Occupational Therapist
- Bel Air, MD
National Provider Identifier
1144577107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 06996
- Practice address
- 620 W Macphail Rd Ste 105
Bel Air, MD 21014-4474 - Phone
- (410) 399-9590
- Fax
- (410) 399-9591
- NPI assigned
- Aug 9, 2012
- 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 | 06996 | MD | Primary |
Addresses
Primary practice location
620 W Macphail Rd Ste 105
Bel Air, MD 21014-4474
Mailing address
620 West Macphail Road
Suite 105
Bel Air, MD 21014-4474
Phone (410) 399-9590
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144577107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 WEST MACPHAIL ROAD",
"address_2": "SUITE 105",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144474",
"telephone_number": "410-399-9590",
"fax_number": "410-399-9591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 W MACPHAIL RD STE 105",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144474",
"telephone_number": "410-399-9590",
"fax_number": "410-399-9591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEINECKE",
"first_name": "KRISTEN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MS OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "06996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.