Active NPI
Kristina Gossett, O.T
- Occupational Therapist
- Shelbyville, IN
National Provider Identifier
1356761688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31005667A
- Practice address
- 1473 E McKay Rd
Shelbyville, IN 46176-8749 - Phone
- (317) 317-6045
- NPI assigned
- Apr 25, 2014
- Last updated
- Sep 5, 2016
- 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 | 31005667A | IN | Primary |
| Pediatric Occupational Therapist | 225XP0200X | 31005667A | IN |
Addresses
Primary practice location
1473 E McKay Rd
Shelbyville, IN 46176-8749
Mailing address
1140A Paradise CT
Greenwood, IN 46143-2106
Phone (317) 908-3894
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31005667A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473033600000",
"number": "1356761688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140A PARADISE CT",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461432106",
"telephone_number": "317-908-3894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1473 E MCKAY RD",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461768749",
"telephone_number": "317-317-6045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSSETT",
"first_name": "KRISTINA",
"credential": "O.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-25",
"last_updated": "2016-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31005667A",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IN",
"license": "31005667A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.