Active NPI
Kristen Smith and Associates PLLC
- Pediatric Occupational Therapist
- Edmond, OK
National Provider Identifier
1700324936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2003
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Smith, OTD, OTR/L
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200616360A | Medicaid | OK |
National Provider Directory
National Provider DirectoryPractitioners & 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.