Individual provider Active NPI

Kristin Haudek

  • Occupational Therapist
  • Ann Arbor, MI
National Provider Identifier
1174992556
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201008502 Issued in MI
Practice address
1955 Pauline Blvd
Ste 100C
Ann Arbor, MI 48103-5003
Phone
(734) 769-0505
Fax
(734) 769-0797
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201008502 MI Primary

Addresses

Primary practice location

1955 Pauline Blvd
Ste 100C
Ann Arbor, MI 48103-5003

Mailing address

1955 Pauline Blvd
Ste 100C
Ann Arbor, MI 48103-5003
Phone (734) 769-0505

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

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1174992556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 PAULINE BLVD",
            "address_2": "STE 100C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035003",
            "telephone_number": "734-769-0505",
            "fax_number": "734-769-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 PAULINE BLVD",
            "address_2": "STE 100C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035003",
            "telephone_number": "734-769-0505",
            "fax_number": "734-769-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUDEK",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.