Kristen M Bissette, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4986 Issued in NC

Practice address

1811 Forest Hills Rd W
Wilson, NC 27893-3412

Phone

(252) 243-7400

Fax

(252) 243-3291

NPI assigned

Jun 11, 2008

Sex

Female

Sole proprietor

No

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.

• Comprehensive Rehab of Wilson, Inc.

  • Physical Therapist
  • Wilson, NC
  • NPI 1861450884
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2008.

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1992965172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 CAMP CHARLES ROAD",
            "city": "BAILEY",
            "state": "NC",
            "postal_code": "27807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 FOREST HILLS RD W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933412",
            "telephone_number": "252-243-7400",
            "fax_number": "252-243-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSETTE",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "4986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0777Y",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "720777Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Uzzell Best, RPH
• Valerie Hannah Best
• BHG Lxxxi, LLC
• Amanda Ellis Biermann
• Sarah Elizabeth Kirby Bischoff, RPH
• Malisha Bissette, RPH.
• Clarisa Renee Blackwell, LMBT, MMP
• Kendall Leon Blackwell, DPM
• Jennifer Blake
• Ashley Johnson Blalock

• All providers in Wilson, NC
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.