Kristen Shideler, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17-02953 Issued in KS

Practice address

3500 N Rock Rd Ste 101
Building 2200
Wichita, KS 67226-1341

Phone

(316) 440-3316

Fax

(888) 965-6885

NPI assigned

Aug 10, 2011

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 Meyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Erin Is Hope Foundation Inc

  • Speech-Language Pathologist
  • Wichita, KS
  • NPI 1780638999

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551484800000",
    "number": "1831478635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081602",
            "telephone_number": "316-681-3204",
            "fax_number": "316-681-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N ROCK RD STE 101",
            "address_2": "BUILDING 2200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261341",
            "telephone_number": "316-440-3316",
            "fax_number": "888-965-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIDELER",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2019-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "211163",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-02953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MEYER",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Audrey Sherwood, LMLP
• Seth Sherwood, DMD
• Pratik Sheth, D.D.S
• Devra Lynn Shetler
• Winnie Sheu Woc, MD
• Stephanie Shields, M.D.
• Nicholas William Shiew
• Katherine Deanne Shifrin
• Judith Anne Shilling, FNP-C
• Tiffany Ruth Shin, PHARMD

• Occupational Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2019; 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.