Active NPI
Kristen Baucom, OT/R
- Occupational Therapist
- Kannapolis, NC
National Provider Identifier
1265766760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4188
- Practice address
- 906 Buick Ave
Kannapolis, NC 28083-5014 - Phone
- (704) 933-6409
- NPI assigned
- Sep 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4188 | NC | Primary |
Addresses
Primary practice location
906 Buick Ave
Kannapolis, NC 28083-5014
Mailing address
906 Buick Ave
Kannapolis, NC 28083-5014
Phone (704) 933-6409
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 |
|---|---|---|---|
| 4188 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254268800000",
"number": "1265766760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 BUICK AVE",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280835014",
"telephone_number": "704-933-6409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 BUICK AVE",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280835014",
"telephone_number": "704-933-6409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUCOM",
"first_name": "KRISTEN",
"name_prefix": "Ms.",
"credential": "OT/R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-30",
"last_updated": "2009-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "4188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.