Individual provider Active NPI

Christine Amy Jansen, MS., OTR/L

  • Occupational Therapist
  • Saugerties, NY
National Provider Identifier
1265947022
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
027261 Issued in NY
Practice address
82 Red Maple Rd
Saugerties, NY 12477-9326
Phone
(845) 901-8798
NPI assigned
Dec 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 027261 NY Primary

Addresses

Primary practice location

82 Red Maple Rd
Saugerties, NY 12477-9326

Mailing address

61 Harry Wells Rd
Saugerties, NY 12477-3821

Other identifiers 1

IdentifierTypeStateIssuer
DHB80530983OtherEMPRIE BLUECROSS BLUESHIELD PPO

Other names 1

  • Christine Amy Haller 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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1265947022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 HARRY WELLS RD",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124773821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 RED MAPLE RD",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124779326",
            "telephone_number": "845-901-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "CHRISTINE",
        "middle_name": "AMY",
        "credential": "MS., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-02",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPRIE BLUECROSS BLUESHIELD PPO",
            "identifier": "DHB80530983",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "HALLER",
            "middle_name": "AMY",
            "credential": "CHRISTINE AMY HALLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saugerties, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.