Active NPI
Kirsten Woolsey, CTRS
- Recreation Therapist
- Anna, TX
National Provider Identifier
1437643194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 62504
- Practice address
- 2330 Triston St
Anna, TX 75409-5819 - Phone
- (757) 589-5724
- NPI assigned
- Jun 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 62504 | Primary |
Addresses
Primary practice location
2330 Triston St
Anna, TX 75409-5819
Mailing address
2330 Triston St
Anna, TX 75409-5819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62504 | Other | CERTIFIED THERAPEUTIC RECREATION SPECIALIST |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529193600000",
"number": "1437643194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 TRISTON ST",
"city": "ANNA",
"state": "TX",
"postal_code": "754095819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 TRISTON ST",
"city": "ANNA",
"state": "TX",
"postal_code": "754095819",
"telephone_number": "757-589-5724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLSEY",
"first_name": "KIRSTEN",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-17",
"last_updated": "2018-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": "62504",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED THERAPEUTIC RECREATION SPECIALIST",
"identifier": "62504",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Anna, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.