Individual provider Active NPI

Krista Nicole Andriacco, OTR/L

  • Community Health Worker
  • Cincinnati, OH
National Provider Identifier
1306185517
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
OT-006173 Issued in NU
Practice address
5007 Clarevalley Dr
Cincinnati, OH 45238-6011
Phone
(513) 659-9368
NPI assigned
Feb 7, 2013
Last updated
Feb 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X OT-006173 NU Primary

Addresses

Primary practice location

5007 Clarevalley Dr
Cincinnati, OH 45238-6011

Mailing address

5007 Clarevalley Dr
Cincinnati, OH 45238-6011
Phone (513) 659-9368

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

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1306185517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 CLAREVALLEY DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452386011",
            "telephone_number": "513-659-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 CLAREVALLEY DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452386011",
            "telephone_number": "513-659-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIACCO",
        "first_name": "KRISTA",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": "OT-006173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.