Active NPI
Kristin M Blair, MOT OTR/L
- Occupational Therapist
- Omaha, NE
National Provider Identifier
1669642070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1267
- Practice address
- 17117 Barnett St
Omaha, NE 68116-3018 - Phone
- (140) 910-3736
- NPI assigned
- Mar 3, 2008
- Last updated
- Mar 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1267 | NE | Primary |
Addresses
Primary practice location
17117 Barnett St
Omaha, NE 68116-3018
Mailing address
17117 Barnett St
Omaha, NE 68116-3018
Phone (140) 910-3736
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1267 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1669642070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17117 BARNETT ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681163018",
"telephone_number": "140-910-3736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17117 BARNETT ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681163018",
"telephone_number": "140-910-3736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "KRISTIN",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "MOT OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-03",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.