Active NPI
Krista M Childers, OTR/L
- Occupational Therapist
- Lexington, KY
National Provider Identifier
1457630329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- R4957
- Practice address
- 1001 Monarch St Ste 110
Lexington, KY 40513-1848 - Phone
- (859) 224-0834
- Fax
- (859) 224-0882
- NPI assigned
- Aug 10, 2011
- Last updated
- Sep 14, 2011
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | R4957 | KY | Primary |
Addresses
Primary practice location
1001 Monarch St Ste 110
Lexington, KY 40513-1848
Mailing address
1001 Monarch St Ste 110
Lexington, KY 40513-1848
Phone (859) 224-0834
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 |
|---|---|---|---|
| R4957 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1457630329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MONARCH ST STE 110",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405131848",
"telephone_number": "859-224-0834",
"fax_number": "859-224-0882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MONARCH ST STE 110",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405131848",
"telephone_number": "859-224-0834",
"fax_number": "859-224-0882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS",
"first_name": "KRISTA",
"middle_name": "M",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-10",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R4957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.