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1326500182 NPI number — KRISTIE J PENDRED MSOT, OTRL

NPI Number: 1326500182
Health Care Provider/Practitioner: KRISTIE J PENDRED MSOT, OTRL

Information about “1326500182” NPI (KRISTIE J PENDRED MSOT, OTRL) exists in 1326500182 in HTML format HTML  |  1326500182 in plain Text format TXT  |  1326500182 in PDF (Portable Document Format) PDF  |  1326500182 in an XML format XML  formats.

NPI Number : 1326500182 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326500182",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PENDRED",
    "FirstName": "KRISTIE",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSOT, OTRL",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RENO",
    "OtherFirstName": "KRISTIE",
    "OtherMiddleName": "J",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 663",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKELAND",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48143-0663",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "810-559-2129",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "300 SAINT ANDREWS RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAGINAW",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48638-5977",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "989-401-9020",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/02/2019",
    "LastUpdateDate": "04/02/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "106S00000X",
          "TaxonomyName": "Behavior Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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