Kristen S Wiese, MA, OTR/L is a
Occupational Therapist based in Los Ranchos, New Mexico. Kristen S Wiese is licensed to practice in New Mexico (license number 2414) and her current practice location is
608 Bledsoe Rd Nw, Los Ranchos, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 908-0717.
NPI number for Kristen S Wiese is 1841473527 and her current mailing address is 1104 Salamanca St Nw, Albuquerque, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841473527.
Healthcare Provider's Profile
Full Name | Kristen S Wiese |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 608 Bledsoe Rd Nw, Los Ranchos, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841473527
- Provider Enumeration Date: 12/17/2007
- Last Update Date: 04/12/2010
Medical Identifiers
Medical identifiers for Kristen S Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841473527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 2414 (New Mexico) | Primary |
225XH1300X | Occupational Therapist - Human Factors | 2414 (New Mexico) | Secondary |
225XN1300X | Occupational Therapist - Neurorehabilitation | 2414 (New Mexico) | Secondary |
225XP0200X | Occupational Therapist - Pediatrics | 2414 (New Mexico) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristen S Wiese is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kristen S Wiese, MA, OTR/L 1104 Salamanca St Nw, Albuquerque, NM 87107-5626 Ph: (505) 908-0717 | Kristen S Wiese, MA, OTR/L 608 Bledsoe Rd Nw, Los Ranchos, NM 87107-6219 Ph: (505) 908-0717 |
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