Active NPI
Kristen Haines
- Occupational Therapist
- Gainesville, FL
National Provider Identifier
1972985034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT12601
- Practice address
- 8109 NW 27TH Blvd
Gainesville, FL 32606-8636 - Phone
- (352) 792-6464
- NPI assigned
- Jun 25, 2015
- Sex
- Female
- Sole proprietor
- No
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 | OT12601 | FL | Primary |
Addresses
Primary practice location
8109 NW 27TH Blvd
Gainesville, FL 32606-8636
Mailing address
8109 NW 27TH Blvd
Gainesville, FL 32606-8636
Phone (352) 792-6464
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1972985034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8109 NW 27TH BLVD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326068636",
"telephone_number": "352-792-6464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8109 NW 27TH BLVD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326068636",
"telephone_number": "352-792-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINES",
"first_name": "KRISTEN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-25",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT12601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.