Kristina Kaye Miller-Gibson, DOCTORATE OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

131943 Issued in KY

Practice address

305 Morton Blvd
Hazard, KY 41701

Phone

(606) 435-1741

Fax

(606) 435-0490

NPI assigned

Apr 29, 2014

Last updated

May 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kristina Kaye Elam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1598175622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ROCKWOOD LN",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019415",
            "telephone_number": "606-436-5761",
            "fax_number": "606-436-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "41701",
            "telephone_number": "606-435-1741",
            "fax_number": "606-435-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-GIBSON",
        "first_name": "KRISTINA",
        "middle_name": "KAYE",
        "credential": "DOCTORATE OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "131943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100417520",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "ELAM",
            "middle_name": "KAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacqueline Messer
• Justin Messer
• Kayla Messer
• Lisa Ann Meyers
• Michael W Vories MD (Simon and True Medical Consultants)
• Betty Denise Miller, APRN
• Brandon Miller, APRN
• Dakota Keith Miller, PSS
• Leeanna Miller, PHARMD
• Sherry Larrisa Miller, PA

• Occupational Therapist in Hazard, KY
• Providers in Hazard, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.