1649806332 NPI number — KRISTI VAAMONDE LMCHC, SEP, ATR-BC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649806332 NPI number — KRISTI VAAMONDE LMCHC, SEP, ATR-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VAAMONDE
Provider First Name:
KRISTI
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMCHC, SEP, ATR-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WROLSTAD
Provider Other First Name:
KRISTI
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1649806332
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/23/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13249 JENKINS ST NE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLAINE
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55449-4952
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-707-1335
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9 WALDRUP TRCE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLETCHER
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28732-8428
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-214-5112
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/13/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  A15641 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com