Nicole A. Kristal

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

11390 Issued in NC

Practice address

3905 University Dr
Durham, NC 27707-2517

Phone

(919) 246-0590

NPI assigned

Jan 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emerge-a Child'S Place, PLLC

  • Speech-Language Pathologist
  • Durham, NC
  • NPI 1730229188

  Occupational Therapist

  NPD
• I Can Too Learning Center, Inc

  • Early Intervention Provider Agency
  • San Jose, CA
  • NPI 1902048085
  NPD (past)

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1366748006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 UNIVERSITY DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072517",
            "telephone_number": "919-246-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 UNIVERSITY DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072517",
            "telephone_number": "919-246-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTAL",
        "first_name": "NICOLE",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Gail Kreissman, MD
• Justin Robert Kretzschmar, MSW, LCSWA, LCASA
• Isaiah Jeffrey Krider
• Pranay Krishnan
• Krista Nordgren Counseling
• Jonas Kritz, RN
• Chylain Krivensky, CPM
• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Kroger Limited Partnership I

• Occupational Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.