Kristen Kaye Bachman, COTA

Primary specialty

Low Vision Occupational Therapy AssistantTaxonomy code 224ZL0004X

License

5202005800 Issued in MI

Practice address

4368 Cleveland Ave
Stevensville, MI 49127-9595

Phone

(269) 983-6501

NPI assigned

Feb 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1699276386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63046 66TH AVE",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490578664",
            "telephone_number": "269-208-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4368 CLEVELAND AVE",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279595",
            "telephone_number": "269-983-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMAN",
        "first_name": "KRISTEN",
        "middle_name": "KAYE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Low Vision",
            "state": "MI",
            "license": "5202005800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Place Called Home in Stevensville LLC (A Place Called Home)
• Christopher T Alphenaar, LPC, LLP. CAADC
• Christiana Danielle Atkins, LLPC
• Andrew R. Bargren, DDS
• Luz Lim Bargren, DDS
• Fawn Bass
• Candice M Bearden, LPN
• Betsy Marie Becker, NP

• Occupational Therapy Assistant in Stevensville, MI
• Providers in Stevensville, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.