Individual provider Active NPI

Kristine Rose Barrett

  • Occupational Therapist
  • Fort Collins, CO
National Provider Identifier
1386843068
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
NO LICENSURE IN CO Issued in CO
Practice address
508 W Trilby Rd
Fort Collins, CO 80525-4054
Phone
(970) 226-6408
Fax
(970) 226-1015
NPI assigned
Jul 13, 2007
Last updated
Jul 13, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NO LICENSURE IN CO CO Primary

Addresses

Primary practice location

508 W Trilby Rd
Fort Collins, CO 80525-4054

Mailing address

3104 Swallow PL
Fort Collins, CO 80525-2738

Other identifiers 1

IdentifierTypeStateIssuer
1060725OtherCOOTR CERTIFICATION NUMBER

Other names 1

  • Kristine Louise Rose Former name

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
NO LICENSURE IN COCOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1386843068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 SWALLOW PL",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W TRILBY RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254054",
            "telephone_number": "970-226-6408",
            "fax_number": "970-226-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "KRISTINE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "NO LICENSURE IN  CO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTR CERTIFICATION NUMBER",
            "identifier": "1060725",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "ROSE",
            "middle_name": "LOUISE",
            "credential": "MSOTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.