Individual provider Active NPI

Kristyna Emily Moses, COTA

  • Occupational Therapy Assistant
  • The Woodlands, TX
National Provider Identifier
1184336737
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
217213 Issued in TX
Practice address
6767 Lake Woodlands Dr # F
The Woodlands, TX 77382-2566
Phone
(281) 364-1122
NPI assigned
Dec 14, 2022
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 217213 TX Primary

Addresses

Primary practice location

6767 Lake Woodlands Dr # F
The Woodlands, TX 77382-2566

Mailing address

8122 Legacy Creek Dr
Tomball, TX 77375-1199
Phone (713) 870-6104

Other practice location 1

750 Fish Creek Thoroughfare
Montgomery, TX 77316-6965
Phone (936) 272-0790

Other practice location 2

20639 Kuykendahl Rd Ste 200
Spring, TX 77379-3587
Phone (832) 698-0111

Other names 1

  • Kristyna Emily Shaffer Former name

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

LicenseStateTypeSpecialty
217213TXMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1184336737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8122 LEGACY CREEK DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773751199",
            "telephone_number": "713-870-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 LAKE WOODLANDS DR # F",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822566",
            "telephone_number": "281-364-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Fish Creek Thoroughfare",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773166965",
            "country_code": "US",
            "telephone_number": "936-272-0790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20639 Kuykendahl Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773793587",
            "country_code": "US",
            "telephone_number": "832-698-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES",
        "first_name": "KRISTYNA",
        "middle_name": "EMILY",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "217213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTYNA",
            "last_name": "SHAFFER",
            "middle_name": "EMILY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.