Individual provider Active NPI

Kristin Springfield, OT

  • Occupational Therapist
  • Roseville, CA
National Provider Identifier
1578818167
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
20061 Issued in CA
Practice address
1680 E Roseville Pkwy Ste 112
Roseville, CA 95661-3988
Phone
(916) 486-5400
NPI assigned
Jul 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7341 AZ
Occupational Therapist 225X00000X 10624940-4201 UT
Occupational Therapist 225X00000X 4291 NC
Occupational Therapist 225X00000X 0119001420 VA
Occupational Therapist 225X00000X 20061 CA Primary
Occupational Therapist 225X00000X 1061 SD
Occupational Therapist 225X00000X 56012343 IL
Occupational Therapist 225X00000X OT.0005329 CO
Occupational Therapist 225X00000X 31006525A IN

Addresses

Primary practice location

1680 E Roseville Pkwy Ste 112
Roseville, CA 95661-3988

Mailing address

1809 S St Ste 101-275
Sacramento, CA 95811-6736
Phone (916) 223-4936

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kristin.x.springfiel@kp.org Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
7341AZMDOccupational Therapist
20061CAMDOccupational Therapist
OT.0005329COMDOccupational Therapist
56012343ILMDOccupational Therapist
31006525AINMDOccupational Therapist
1061SDMDOccupational Therapist
10624940-4201UTMDOccupational Therapist
0119001420VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Pathways Preferred of Tennessee LLC Occupational Therapist CurrentSince Aug 8, 2012 Accepting new patients

Locations

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

3243 Electric Rd
Roanoke, VA 24018

3243 Electric Rd
Bldg E
Roanoke, VA 24018
Phone (540) 404-1189

3317 Ocean Shore Ave
Virginia Beach, VA 23451
Phone (757) 232-3179

Organizations & group practices 1

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": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1578818167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 S ST STE 101-275",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958116736",
            "telephone_number": "916-223-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 E ROSEVILLE PKWY STE 112",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613988",
            "telephone_number": "916-486-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGFIELD",
        "first_name": "KRISTIN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "7341",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "10624940-4201",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "4291",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119001420",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "20061",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "1061",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "56012343",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005329",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31006525A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kristin.x.springfiel@kp.org",
            "affiliation": "N",
            "endpointDescription": "protected email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1680 E Roseville Pkwy Ste 112",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956613988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.