Kristin Everhart

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61557223 Issued in WA

Practice address

905 W 9TH St
Port Angeles, WA 98363-7275

Phone

(108) 334-2365

NPI assigned

Nov 29, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dearborn Speech and Sensory Center, Inc

  • Behavior Analyst
  • Plymouth, MI
  • NPI 1033510821

  Occupational Therapist

  Medicare reassignment NPD
• Greater Oregon Behavioral Health Inc

  • Community/Behavioral Health Agency
  • The Dalles, OR
  • NPI 1265886741
  NPD (past)

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1679016380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W 9TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983637275",
            "telephone_number": "810-334-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W 9TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983637275",
            "telephone_number": "108-334-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERHART",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013708",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61557223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinn Marie Ersland, CO61126051
• Pearl Ann Escuredo
• Minerva J Etaugh, SUDP-T
• Susan Patricia Evans, LMP
• Harold G Everett Jr., M.D.
• Victoria M Everrett, RD LD CNSC CDE
• Jon Michiel Eyre, DDS
• Michaela Fallon
• Family Medicine of Port Angeles PLLC
• Family Medicine of Port Angeles PLLC

• Occupational Therapist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.