Organization Active NPI

Kristina Sampsel, Motr/L, S-Corp

  • Pediatric Occupational Therapist
  • Albuquerque, NM
National Provider Identifier
1902179021
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2262 Issued in NM
Legal business name
KRISTINA SAMPSEL, MOTR/L, S-CORP
Practice address
1849 Calle Los Vecinos NW
Albuquerque, NM 87107-2805
Phone
(505) 321-7804
NPI assigned
Feb 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Miss Kristina M Sampsel, MOTR/L
Title
President
Phone
(505) 321-7804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 2262 NM Primary

Addresses

Primary practice location

1849 Calle Los Vecinos NW
Albuquerque, NM 87107-2805

Mailing address

1849 Calle Los Vecinos NW
Albuquerque, NM 87107-2805
Phone (505) 321-7804

Other identifiers 1

IdentifierTypeStateIssuer
95070061MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1902179021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 CALLE LOS VECINOS NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072805",
            "telephone_number": "505-321-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 CALLE LOS VECINOS NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072805",
            "telephone_number": "505-321-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA SAMPSEL, MOTR/L, S-CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "SAMPSEL",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-321-7804",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NM",
            "license": "2262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95070061",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.