Provider Demographics
NPI:1013339951
Name:SHIFFLETT, KRISTEN LINDEMAN (OTR/L)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:LINDEMAN
Last Name:SHIFFLETT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:STEINER
Other - Last Name:LINDEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:601 N. CAROLINE STREET
Mailing Address - Street 2:JOHN HOPKINS WILMER LOW VISION SERVICE WILLMER 317
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287
Mailing Address - Country:US
Mailing Address - Phone:410-614-7962
Mailing Address - Fax:410-614-1670
Practice Address - Street 1:600 N. WOLFE STREET WILMER 317
Practice Address - Street 2:JOHNS HOPKINS EYE INSTITUTE LOW VISION SERVICE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-955-0580
Practice Address - Fax:410-614-1670
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05900225XG0600X, 225XL0004X, 225XN1300X, 225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology
No225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow Vision
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation