Kristen Kellogg, OTR/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

102438 Issued in MN

Practice address

9220 Bass Lake Rd
Suite 260
New Hope, MN 55428-3000

Phone

(763) 533-0363

Fax

(763) 533-0842

NPI assigned

Aug 9, 2005

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710988043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2276 118TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495443",
            "telephone_number": "651-245-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 BASS LAKE RD",
            "address_2": "SUITE 260",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283000",
            "telephone_number": "763-533-0363",
            "fax_number": "763-533-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "KRISTEN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "102438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Johnson, M.A.
• Tiffany Irene Johnson, MSW, LICSW
• Bianca N Junior
• Amanda Kaiser, MA LMFT
• Steve Michael Kelley, RN
• Kristen Kerkhoff, LICSW
• Eunjin Kim, OTR/L
• Iris Kim
• Katharina Kinch
• Kind Way Community Living Services LLC

• Specialist in New Hope, MN
• Providers in New Hope, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.