Individual provider Active NPI

Christine L. Kisselburgh, M.A.E.

  • Day Training/Habilitation Specialist
  • Grand Junction, CO
National Provider Identifier
1639523913
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Practice address
241 Grand Ave Ste 6
Grand Junction, CO 81501-2426
Phone
(970) 985-9999
NPI assigned
Apr 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X Primary

Addresses

Primary practice location

241 Grand Ave Ste 6
Grand Junction, CO 81501-2426

Mailing address

241 Grand Ave Ste 6
Grand Junction, CO 81501-2426
Phone (970) 985-9999

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

Practice roles

OrganizationSpecialtyStatusNew patients
Path-Co, LLC Current Accepting new patients

Locations

241 Grand Ave
Ste 6
Grand Junction, CO 81501
Phone (970) 255-0777

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": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1639523913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GRAND AVE STE 6",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012426",
            "telephone_number": "970-985-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 GRAND AVE STE 6",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012426",
            "telephone_number": "970-985-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSELBURGH",
        "first_name": "CHRISTINE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "M.A.E.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.