Kristina Boblitt, MS OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT 3583 Issued in CA

Practice address

2999 Cleveland Ave Ste D
Santa Rosa, CA 95403-2761

Phone

(707) 696-7367

NPI assigned

Oct 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1306156757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1544",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954731544",
            "telephone_number": "707-696-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 CLEVELAND AVE STE D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032761",
            "telephone_number": "707-696-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBLITT",
        "first_name": "KRISTINA",
        "name_prefix": "Mrs.",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 3583",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT 3583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Bloom, MFT
• Lorraine Blue, MFT
• Lisa Marie Boardman, MPT
• Gwendolyn A. Boatman, MD
• Pamela A Boaz, PHD MFT
• Charlene Ann Bocca
• Judith Boccanfuso, RD
• Valarie Bochenek, NP
• Joseph P Boden, RPT
• Krystal Annie Bodily, FNP

• Pediatric Occupational Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.