Individual provider Active NPI

Kristin Kelly Yackel-Friend, PT

  • Physical Therapist
  • Saginaw, MI
National Provider Identifier
1780186015
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501004788 Issued in MI
Practice address
5810 Gratiot Rd
Saginaw, MI 48638-6063
Phone
(989) 791-3771
Fax
(989) 791-1147
NPI assigned
Mar 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501004788 MI Primary

Addresses

Primary practice location

5810 Gratiot Rd
Saginaw, MI 48638-6063

Mailing address

9495 Schomaker Rd
Saginaw, MI 48609-9675
Phone (989) 245-6446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5501004788MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1780186015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9495 SCHOMAKER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486099675",
            "telephone_number": "989-245-6446",
            "fax_number": "989-791-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 GRATIOT RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386063",
            "telephone_number": "989-791-3771",
            "fax_number": "989-791-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACKEL-FRIEND",
        "first_name": "KRISTIN",
        "middle_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.