Kristen Marie Faust, OTD, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

106608 Issued in MN

Practice address

490 Highway 96 W Ste 300
Shoreview, MN 55126-1961

Phone

(651) 451-3016

NPI assigned

Jul 19, 2021

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 Marie Hackman 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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1740853738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 HIGHWAY 96 W STE 300",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551261961",
            "telephone_number": "301-665-1451",
            "fax_number": "651-481-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 HIGHWAY 96 W STE 300",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551261961",
            "telephone_number": "651-451-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUST",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "106608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "HACKMAN",
            "middle_name": "MARIE",
            "credential": "OTD, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Family Healthservices Minnesota, P.a
• Family Healthservices Minnesota, P.a.
• Kathleen Mary Fargionne, LICSW
• Barbara Jean Farr, CMN
• Ashley Fasching
• Briana Feeny, MS, CF, SLP
• Kristi Erin Finn
• Kimberly A Fischer, MD
• Fishbone LLC
• Jon Mark Fisher, LICSW

• Pediatric Occupational Therapist in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.