Kristy Lynn Herbel, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17-01122 Issued in KS

Practice address

3500 N Rock Rd
BLDG 2200, Suite 101
Wichita, KS 67226

Phone

(316) 440-3316

NPI assigned

May 9, 2013

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

Other identifiers 1

Other names 1

• Kristy Lynn Gaddie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sprout Pediatric Occupational Therapy, LLC

  • Occupational Therapist
  • Wichita, KS
  • NPI 1588098412
  NPD (past)

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1194160671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N ROCK RD",
            "address_2": "BLDG 2200, SUITE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261341",
            "telephone_number": "316-440-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N ROCK RD",
            "address_2": "BLDG 2200, SUITE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67226",
            "telephone_number": "316-440-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBEL",
        "first_name": "KRISTY",
        "middle_name": "LYNN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-01122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1194160671",
            "identifier": "17-01122",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "GADDIE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Hentges Jr., MD
• James Richard Henthorn, BCO BADO
• Andrew S Hentzen, MD
• Kara Hentzen, ARNP
• Annabelle Her
• Diana C Herberger, LMSW
• Heritage LLC
• Dennis Herl, LCP
• Elizabeth Herl, LCMFT
• Darla Herman-Lyon, PT

• All providers in Wichita, KS
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.