MRS. KRISTINA MOHRHARDT (NPI# 1104112663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104112663 |
| Entity Type | Individual |
| Full Name | MRS. KRISTINA MOHRHARDT |
| Credential | CTRS |
| Practice Address |
3853 Rosecrans St San Diego CA 92110-3115 |
| Mailing Address |
Po Box 83188 San Diego CA 92138-3188 |
| Practice Telephone | 6199334051 |
| Mailing Telephone | 6199334051 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2012-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 41024 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CTRS | 41024 | 01 |
| Street Address |
3853 ROSECRANS ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750490645 | Nicole Marie Lanouette | Psychiatry & Neurology | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2006-08-30 |
| 1396345260 | Jamson Jaeger Deloria Abella | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-29 |
| 1588262158 | Kyle Alvin Pedines Marmolejo | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-15 |
| 1972101129 | Robert James Dodson | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-10 |
| 1114524402 | Ma Rosa Nika Z Paet | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-08 |
| 1164029740 | Charmaine Lim Solmerano | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-06 |
| 1609483858 | Bethany Anne Higgins | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-30 |
| 1972110609 | Shannon M Keene | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-27 |
| 1396352449 | Connor Louis Kleis | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-23 |
| 1396351284 | Lourdes Marie Terry | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770704090 | Nancy M. Bazzetta | Recreation Therapist | 3853 Rosecrans, San Diego, CA 92110 | 2007-05-02 |
| 1649807892 | Margaret Kremer | Recreation Therapist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-03-26 |
| 1407386972 | Randy Giorgio Munguia | Recreation Therapist | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2017-06-15 |
| 1437692621 | Kersey Peterson | Recreation Therapist | 9089 Clairemont Mesa Blvd, Suite 200, San Diego, CA 92123-1234 | 2016-11-21 |
| 1528473295 | Elizabeth Rau | Recreation Therapist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2014-06-21 |
| 1831525088 | Dawn Michelle Mercurio | Recreation Therapist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2013-09-19 |
| 1134553944 | Taylor Brooke Jaquay | Recreation Therapist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2013-08-28 |
| 1598039059 | Kent Daniel Holt | Recreation Therapist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2012-03-01 |
| 1063706224 | Jennifer Anne Bixler | Recreation Therapist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2011-06-06 |
| 1093986978 | Diana D. Rose | Recreation Therapist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2008-03-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.