Individual provider Active NPI

Kristen C McCandless, OT

  • Occupational Therapist
  • Haddonfield, NJ
National Provider Identifier
1316197841
Registry record updated Sep 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC010807 Issued in PA
Practice address
404 Cleveland Blvd
Haddonfield, NJ 08033-1602
Phone
(609) 504-6260
NPI assigned
Sep 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC010807 PA Primary
Occupational Therapist 225X00000X 0119004376 VA
Occupational Therapist 225X00000X OT 13293 FL

Addresses

Primary practice location

404 Cleveland Blvd
Haddonfield, NJ 08033-1602

Mailing address

404 Cleveland Blvd
Haddonfield, NJ 08033-1602
Phone (609) 504-6260

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

State licenses

LicenseStateTypeSpecialty
OT 13293FLMDOccupational Therapist
OC010807PAMDOccupational Therapist
0119004376VAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1221868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221868800000",
    "number": "1316197841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CLEVELAND BLVD",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331602",
            "telephone_number": "609-504-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 CLEVELAND BLVD",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331602",
            "telephone_number": "609-504-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANDLESS",
        "first_name": "KRISTEN",
        "middle_name": "C",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-20",
        "last_updated": "2008-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010807",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119004376",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 13293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2008; 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.