Active NPI
Kristin Shimel, OTR
- Pediatric Occupational Therapist
- Pleasant Hill, MO
National Provider Identifier
1265635650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2004002122
- Practice address
- 1404 Carrol Dr
Pleasant Hill, MO 64080-1138 - Phone
- (816) 651-1926
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2004002122 | MO | Primary |
Addresses
Primary practice location
1404 Carrol Dr
Pleasant Hill, MO 64080-1138
Mailing address
1404 Carrol Dr
Pleasant Hill, MO 64080-1138
Phone (816) 651-1926
Other names 1
- Kristin Schmidt
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2004002122 | MO | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265635650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 CARROL DR",
"city": "PLEASANT HILL",
"state": "MO",
"postal_code": "640801138",
"telephone_number": "816-651-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 CARROL DR",
"city": "PLEASANT HILL",
"state": "MO",
"postal_code": "640801138",
"telephone_number": "816-651-1926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMEL",
"first_name": "KRISTIN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MO",
"license": "2004002122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "SCHMIDT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pleasant Hill, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.