Kristin Fylling, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1113 Issued in ND

Practice address

3400 Nebraska Dr
Bismarck, ND 58503-1649

Phone

(701) 989-7410

NPI assigned

Dec 28, 2012

Last updated

Mar 17, 2018By the provider in NPPES

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

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487990032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LEWIS AVE S",
            "address_2": "SUITE #210",
            "city": "WATERTOWN",
            "state": "MN",
            "postal_code": "553884545",
            "telephone_number": "952-955-2242",
            "fax_number": "952-955-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NEBRASKA DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031649",
            "telephone_number": "701-989-7410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E BOULEVARDS AVE",
            "address_purpose": "LOCATION",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58501",
            "country_code": "US",
            "telephone_number": "952-955-2242",
            "fax_number": "952-955-2010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FYLLING",
        "first_name": "KRISTIN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirta Fuentes, CASE MANAGER
• Laura M Fuerstenberg, FNP-C
• Jonathan Funk
• Alistair G Fyfe, MD
• Ian C Fyfe, MD
• Kelli J Gabel, CRNA
• Gabriela Balf PC
• Carol Gaddis
• Jodi Marie Gader, PHARM D RPH
• Nicole Gagner

• Occupational Therapist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Occupational Therapist in North Dakota

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

Verify at the official NPI Registry.