Kristina Louise Nielsen, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT12576 Issued in CA

Practice address

4213 State St Ste 202
Santa Barbara, CA 93110-2852

Phone

(805) 540-0529

NPI assigned

May 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1205458106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 STATE ST STE 202",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931102852",
            "telephone_number": "805-540-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 STATE ST STE 202",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931102852",
            "telephone_number": "805-540-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "KRISTINA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT12576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristina.nielsen@cchh.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "253 Granada Dr Ste D",
            "city": "San Luis Obispo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934017340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Claire Nicklaw, DO
• Sasha Nickman
• Todd Nicol, DDS
• Amanda Nicolato, MPT
• Marisa Nicoletti
• Ronald Nielsen
• Susan P Nielsen
• Kaitlyn J Nielson, MD
• Madison Estelle Niessen
• Gabriela Williamson Nighan

• Geriatric Physical Therapist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Geriatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.