{
"Npi": {
"NPI": "1841574811",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "TORDOFF",
"FirstName": "KRISTIN",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LMSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "502 E 4TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MORRIS",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "56267-2108",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "320-815-2142",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "500 N RAINBOW BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAS VEGAS",
"PracticeLocationAddressStateName": "NV",
"PracticeLocationAddressPostalCode": "89107-1082",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "725-230-0141",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/07/2011",
"LastUpdateDate": "11/18/2025",
"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": "104100000X",
"TaxonomyName": "Social Worker",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "225400000X",
"TaxonomyName": "Rehabilitation Practitioner",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}