KRISTEN JESSICA GREEN (NPI# 1225525108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225525108 |
| Entity Type | Individual |
| Full Name | KRISTEN JESSICA GREEN |
| Credential | COTA |
| Practice Address |
3500 N Rock Rd Ste 101 Wichita KS 67226-1341 |
| Practice Telephone | 3164403316 |
| Practice Fax Number | 8889656885 |
| Mailing Telephone | 3164403316 |
| Mailing Fax Number | 8889656885 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | T-04882 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | STATE OF KANSAS LICENSE | T-04882 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518459171 | Kristen Green | Behavior Technician | 604 W Moana Ln, Reno, NV 89509-4903 | 2018-05-30 |
| 1295259653 | Kristen M Green | Specialist | 2058 Maple Ave Apt Al2-6, Hatfield, PA 19440-1517 | 2017-07-27 |
| 1104128057 | Kristen Green | Speech-Language Pathologist | 512 Arbutus Dr E, Roanoke Rapids, NC 27870-2272 | 2010-11-29 |
| 1356525018 | Kristen W Green | Psychologist | 430 Prior Street Ne, Gainesville, GA 30501 | 2007-12-18 |
| 1720116387 | Kristen Hillary Green | Optometrist | 7025 Park Centre Dr, Salt Lake City, UT 84121-6619 | 2007-03-02 |
| 1093891145 | Kristen M Green | Specialist | 102 Marble River Rd, Chateaugay, NY 12920-3600 | 2006-10-31 |
| 1013524008 | Kristen Green | Behavioral Analyst | 6849 Peachtree Dunwoody Rd Bldg A1, Atlanta, GA 30328-6769 | 2020-09-24 |
| 1063049336 | Kristen Nina Grace Green | Student in an Organized Health Care Education/Training Program | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-03-25 |
| 1235624941 | Kristen Green | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2018-06-25 |
| 1043704828 | Kristen Green | Dentist | 242 W Clinton St, Gray, GA 31032-5430 | 2018-06-15 |
| Street Address |
3500 N ROCK RD STE 101 |
| City | WICHITA |
| State | KS |
| Zip Code | 67226-1341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982938403 | Shawna Wendt | Occupational Therapist | 3500 N Rock Rd Ste 101, Wichita, KS 67226-1341 | 2009-09-30 |
| 1568941862 | Kimerly Ann Green | Occupational Therapy Assistant | 3500 N Rock Rd Ste 101, Wichita, KS 67226-1341 | 2018-08-08 |
| 1083079503 | Tashayla Markea Okot-kotber | Occupational Therapist | 3500 N Rock Rd Ste 101, Wichita, KS 67226-1341 | 2015-12-28 |
| 1831478635 | Kristen Shideler | Occupational Therapy Assistant | 3500 N Rock Rd Ste 101, Building 2200, Wichita, KS 67226-1341 | 2011-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
| 1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
| 1861910408 | Lindsay Beth Kachelmeier | Marriage & Family Therapist | 6525 E Mainsgate, Wichita, KS 67226 | 2017-09-04 |
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1306298922 | Wilson Yip | Dentist | 2222 N Greenwich Rd, Wichita, KS 67226 | 2016-07-07 |
| 1396102315 | Healthy Balance Center, LLC | Marriage & Family Therapist | 8100 E 22nd St. North, #1800-2, Wichita, KS 67226 | 2016-01-21 |
| 1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1801202882 | Erin Kellie Jeffress | Occupational Therapy Assistant | 3500 N Rock Rd, Building 2200, Ste 101, Wichita, KS 67226 | 2014-07-10 |
| Find all providers in zip 67226 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992363691 | Johanna Tsubaki | Occupational Therapy Assistant | 2317 W 25th St N, Wichita, KS 67204-5457 | 2019-05-29 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1902337702 | Avril Davis | Occupational Therapy Assistant | 11701 W Dora St, Wichita, KS 67209-4243 | 2017-03-23 |
| 1831557453 | Sarah Bah | Occupational Therapy Assistant | 1229 S.paige St, Wichita, KS 67207-3343 | 2016-02-10 |
| 1114385051 | Deserae Bruns | Occupational Therapy Assistant | 2921 S Millwood Ave, Wichita, KS 67217-2443 | 2016-02-07 |
| 1750772331 | Peggy Schremmer | Occupational Therapy Assistant | 4407 N Cimarron St, Wichita, KS 67205-8620 | 2015-02-18 |
| 1801285432 | Kathryn Tipton | Occupational Therapy Assistant | 12838 E Cherry Creek Ct, Wichita, KS 67230-7556 | 2015-01-20 |
| 1649668054 | Krystal Marie Aldrich | Occupational Therapy Assistant | 2111 S Pershing St, Wichita, KS 67218-5037 | 2015-01-07 |
| 1093103525 | Jennifer Briley | Occupational Therapy Assistant | 7610 E 32nd St N, Apt 104, Wichita, KS 67226-1279 | 2015-01-06 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| Find all providers in WICHITA | ||||
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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.