Kendra Annette Risinger, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1736 Issued in NM

Practice address

Hwy 285 Road 111
Ojo Caliente, NM 87549

Phone

(505) 583-2645

NPI assigned

Sep 17, 2006

Last updated

Jan 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1164529822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 PASEO DEL PUEBLO SUR # 328",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715972",
            "telephone_number": "505-927-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 285 ROAD 111",
            "city": "OJO CALIENTE",
            "state": "NM",
            "postal_code": "87549",
            "telephone_number": "505-583-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISINGER",
        "first_name": "KENDRA",
        "middle_name": "ANNETTE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NM",
            "license": "1736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Las Clinicas del Norte Incorporated (Mesa Vista School Based Health Clinic)
• Las Clinicas del Norte, Incorporated (Ojo Caliente Clinic)
• Dietta Dawn Lence, FNP
• Mesa Vista Consolidated School District
• Ojo Caliente Wellness Center, LLC
• Kathleen Jerene Rojas
• Susan Worthington, P.T.

• Pediatric Occupational Therapist in Ojo Caliente, NM
• Providers in Ojo Caliente, NM by specialty
• Pediatric Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.