KRISTA KAY FLACK (NPI# 1053748566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053748566 |
| Entity Type | Individual |
| Full Name | KRISTA KAY FLACK |
| Other Name | KRISTA KAY TARRANT |
| Credential | MS OTR/L |
| Practice Address |
7086 8th Ave Jenison MI 49428-9352 |
| Practice Telephone | 6166679551 |
| Mailing Telephone | 6166679551 |
| Enumeration Date | 2013-09-28 |
| Last Update Date | 2013-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201008460 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7086 8TH AVE |
| City | JENISON |
| State | MI |
| Zip Code | 49428-9352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780745422 | Eric J. Dykstra | Psychologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2006-12-13 |
| 1457959264 | Madison Renee Valentine | Occupational Therapist | 7086 8th Ave, Jenison, MI 49428-9352 | 2020-10-14 |
| 1861046344 | Hannah Pettinga | Speech-Language Pathologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2019-08-01 |
| 1750948220 | Anchored Family Psychology and Counseling Associates | Psychologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2019-05-21 |
| 1952886434 | Emily Taylor Hoogstra | Occupational Therapist | 7086 8th Ave, Jenison, MI 49428-9352 | 2018-10-01 |
| 1861973976 | Caitlyn Dehaan | Speech-Language Pathologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2018-08-27 |
| 1447730478 | Karli Marie Wiersma | Speech-Language Pathologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2018-08-20 |
| 1407341548 | Sandy B Roelofs | Occupational Therapist | 7086 8th Ave, Jenison, MI 49428-9352 | 2018-06-29 |
| 1053824698 | Elisabeth Leigh Boot | Speech-Language Pathologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2017-11-06 |
| 1083131940 | Kelly Marie Vandyke | Social Worker | 7086 8th Ave, Jenison, MI 49428-9352 | 2017-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902355076 | Brian Jacob Wolters | Chiropractor | 7579 Main Street, Jenison, MI 49428 | 2016-09-29 |
| 1730530569 | Michael Walton | Counselor | 7678 Cottonwood Dr Ste C, Jenison, MI 49428 | 2016-06-22 |
| 1972950301 | Kyler Ross Debruyn | Student in an Organized Health Care Education/Training Program | 1932 Cedarbrook Drive, Jenison, MI 49428 | 2016-05-16 |
| 1932529799 | Patrick Christopher Schafer | Family Medicine | 345 Baldwin St, Jenison, MI 49428 | 2014-04-21 |
| 1548469216 | Sarah Anne Sainem Gordon | Counselor | 7506 Church Street, Jenison, MI 49428 | 2007-07-13 |
| 1265578900 | Stephen Mitchael Dadd | Dentist | 657 Baldwin St, Jenison, MI 49428 | 2007-01-29 |
| 1831277136 | Tyler Andrew Wolf | Dentist | 7678 Cottonwood Dr, Jenison, MI 49428 | 2006-11-02 |
| 1497840342 | Bruce A Seitz Dds PC | Dentist | 701 Baldwin, Jenison, MI 49428 | 2006-10-04 |
| 1134221260 | Aaron N Kik | Chiropractor | 7646 20th Ave, Jenison, MI 49428 | 2006-09-01 |
| 1700899135 | Mark Laman Powell | Dentist | 2076 Baldwin Dr, Jenison, MI 49428 | 2006-08-15 |
| Find all providers in zip 49428 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881091999 | Jessica Uzarski | Occupational Therapist | 1394 Caprice Dr, Jenison, MI 49428-9581 | 2014-12-04 |
| 1629347059 | Hope Lynn Brucki-markoski | Occupational Therapist | 8073 Greenridge Dr, Jenison, MI 49428-8526 | 2011-12-13 |
| 1457959264 | Madison Renee Valentine | Occupational Therapist | 7086 8th Ave, Jenison, MI 49428-9352 | 2020-10-14 |
| 1952886434 | Emily Taylor Hoogstra | Occupational Therapist | 7086 8th Ave, Jenison, MI 49428-9352 | 2018-10-01 |
| 1700333614 | Aletta Jean Huisman | Occupational Therapist | 7086 8th Ave, Jenison, MI 49428-9352 | 2016-09-08 |
| 1154734655 | Trisha Lynn Meyers | Occupational Therapist | 7086 8th Ave, Jenison, MI 49428-9352 | 2014-06-03 |
| 1356765580 | Katherine Mesko | Occupational Therapist | 7086 8th Ave, Jenison, MI 49428-9352 | 2014-02-07 |
| 1316371875 | Carly Stender | Occupational Therapist | 7086 8th Ave, Jenison, MI 49428-9352 | 2013-09-02 |
| 1073862272 | Lauren Elizabeth Hohman | Occupational Therapist | 7086 8th Ave, Jenison, MI 49428-9352 | 2012-09-04 |
| 1679857908 | Lauren Hunt | Occupational Therapist | 7086 8th Ave, Jenison, MI 49428-9352 | 2011-10-05 |
| Find all providers in JENISON | ||||
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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.