Organization Active NPI

Kristen Smith and Associates PLLC

  • Pediatric Occupational Therapist
  • Edmond, OK
National Provider Identifier
1700324936
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2003 Issued in OK
Legal business name
KRISTEN SMITH AND ASSOCIATES PLLC
Practice address
309 NW 144TH St
Edmond, OK 73013-2411
Phone
(405) 388-8545
Fax
(888) 606-5313
NPI assigned
Feb 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Kristen Smith, OTD, OTR/LNPI 1841683893
Title
Business Owner and Practitioner
Phone
(405) 388-8545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 2003 OK Primary

Addresses

Primary practice location

309 NW 144TH St
Edmond, OK 73013-2411

Mailing address

309 NW 144TH St
Edmond, OK 73013-2411
Phone (405) 388-8545

Other identifiers 1

IdentifierTypeStateIssuer
200616360AMedicaidOK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1700324936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NW 144TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132411",
            "telephone_number": "405-388-8545",
            "fax_number": "888-606-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NW 144TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132411",
            "telephone_number": "405-388-8545",
            "fax_number": "888-606-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN SMITH AND ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "BUSINESS OWNER AND PRACTITIONER",
        "authorized_official_telephone_number": "405-388-8545",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OK",
            "license": "2003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200616360A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.