Active NPI
Kristina K Smith, OTR/L
- Occupational Therapist
- Belgrade, MT
National Provider Identifier
1881854727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 124
- Practice address
- 1008 Silverbow Ave
Belgrade, MT 59714-4250 - Phone
- (406) 388-2427
- NPI assigned
- Jun 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 124 | MT | Primary |
Addresses
Primary practice location
1008 Silverbow Ave
Belgrade, MT 59714-4250
Mailing address
6325 Jackrabbit LN
Ste a
Belgrade, MT 59714-9128
Phone (406) 388-2427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 347607 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124 | MT | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic, Inc | Current | Accepting new patients |
Locations
6325 Jackrabbit Ln
Ste A
Belgrade, MT 59714
Phone (406) 388-4988
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1881854727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6325 JACKRABBIT LN",
"address_2": "STE A",
"city": "BELGRADE",
"state": "MT",
"postal_code": "597149128",
"telephone_number": "406-388-2427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 SILVERBOW AVE",
"city": "BELGRADE",
"state": "MT",
"postal_code": "597144250",
"telephone_number": "406-388-2427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KRISTINA",
"middle_name": "K",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-13",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MT",
"license": "124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "347607",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belgrade, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.