Kristin Oliver Fowler, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.0001036 Issued in CO

Practice address

2121 Mesa Dr
Boulder, CO 80304-3621

Phone

(704) 726-0739

NPI assigned

Apr 3, 2018

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

Other names 1

• Kristin Rita Oliver Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1366948945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7835 GREENBRIAR CIR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803014130",
            "telephone_number": "704-726-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MESA DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043621",
            "telephone_number": "704-726-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "KRISTIN",
        "middle_name": "OLIVER",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0001036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "OLIVER",
            "middle_name": "RITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeff Fountain, D.C.
• Guillaume Fouque, P.T.
• Four Elements Counseling LLC
• Four Mile Creek Health
• Sydney Fouts-Hyatt
• Nancy Fowler, M.A.
• Daniel Fox, MA, LPC
• Jenny R Fox, MD
• Leah S Fox, PSYCHOTHERAPIST
• Richard Jay Fox, MD

• Occupational Therapy Assistant in Boulder, CO
• Providers in Boulder, CO by specialty
• Occupational Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.