Individual provider Active NPI

Kristin Ann Forno, OTR/L

  • Hand Occupational Therapist
  • Santa Fe, NM
National Provider Identifier
1295128429
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
3342 Issued in NM
Practice address
1348 Pacheco St
Santa Fe, NM 87505-4222
Phone
(970) 779-0223
NPI assigned
Mar 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 3342 NM Primary

Addresses

Primary practice location

1348 Pacheco St
Santa Fe, NM 87505-4222

Mailing address

1348 Pacheco St
Unit 104
Santa Fe, NM 87505-4222
Phone (970) 779-0223

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

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1295128429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 PACHECO ST",
            "address_2": "UNIT 104",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054222",
            "telephone_number": "970-779-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 PACHECO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054222",
            "telephone_number": "970-779-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNO",
        "first_name": "KRISTIN",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NM",
            "license": "3342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.