Active NPI
Christine Halverson, MA, OTR/L
- Occupational Therapist
- Burnsville, MN
National Provider Identifier
1285101469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 029259-01
- Practice address
- 14050 Nicollet Ave
Burnsville, MN 55337-5710 - Phone
- (270) 844-2248
- NPI assigned
- Oct 25, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 105771 | MN | |
| Occupational Therapist | 225X00000X | 029259-01 | NY | Primary |
Addresses
Primary practice location
14050 Nicollet Ave
Burnsville, MN 55337-5710
Mailing address
16 White Birch LN
Gansevoort, NY 12831-1142
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029259-01 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1285101469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 WHITE BIRCH LN",
"city": "GANSEVOORT",
"state": "NY",
"postal_code": "128311142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14050 NICOLLET AVE",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553375710",
"telephone_number": "270-844-2248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALVERSON",
"first_name": "CHRISTINE",
"credential": "MA, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-25",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "105771",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "029259-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.