Kristen Bluell, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201010739 Issued in MI

Practice address

3905 Lorraine Path
Saint Joseph, MI 49085-8630

Phone

(269) 428-1111

NPI assigned

Mar 14, 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

Other names 1

• Kristen Macke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1720449028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 TIMBERLANE DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858705",
            "telephone_number": "219-241-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 LORRAINE PATH",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858630",
            "telephone_number": "269-428-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 US Highway 41",
            "address_purpose": "LOCATION",
            "city": "Schererville",
            "state": "IN",
            "postal_code": "463751321",
            "country_code": "US",
            "telephone_number": "219-322-5560",
            "fax_number": "219-322-1549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUELL",
        "first_name": "KRISTEN",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31006073A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MACKE",
            "credential": "MOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori Bliven
• Angela J Blomgren, PA-C
• Erik Blomquist, DDS
• Blossomland Chiropractic Clinic, P.C.
• David Michael Blue, M.D.
• Margaret L Bluhm, LMSW
• Juliana Marie Bluschke, DC
• Jensen Hope Boardman, CHW
• Body Logic Alternative Therapies, Inc.
• Spencer Ryan Boehm, DO

• Occupational Therapist in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.