Individual provider Active NPI

Kristin Noel Hungerford, SPEECH-LANGUAGE PATH

  • Occupational Therapist
  • Flint, MI
National Provider Identifier
1518564889
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7101002580 Issued in MI
Practice address
5103 W Pierson Rd Ste 3
Flint, MI 48504-1395
Phone
(810) 391-2923
Fax
(210) 391-2968
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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 7101002580 MI Primary

Addresses

Primary practice location

5103 W Pierson Rd Ste 3
Flint, MI 48504-1395

Mailing address

5103 W Pierson Rd Ste 3
Flint, MI 48504-1395
Phone (810) 391-2923

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
7101002580MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RSH Wellness, LLC CurrentSince Aug 28, 2022 Accepting new patients
Learning Dreams LLC PastSince Oct 11, 2020 Accepting new patients

Locations

5103 W Pierson Rd
Ste 3
Flint, MI 48504
Phone (810) 339-6607

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1518564889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 W PIERSON RD STE 3",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041395",
            "telephone_number": "810-391-2923",
            "fax_number": "210-391-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 W PIERSON RD STE 3",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041395",
            "telephone_number": "810-391-2923",
            "fax_number": "210-391-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNGERFORD",
        "first_name": "KRISTIN",
        "middle_name": "NOEL",
        "credential": "SPEECH-LANGUAGE PATH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "7101002580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.