1780923573 NPI number — MRS. CHRISTIN MICHELLE HILL OT

Table of content: MRS. CHRISTIN MICHELLE HILL OT (NPI 1780923573)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780923573 NPI number — MRS. CHRISTIN MICHELLE HILL OT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HILL
Provider First Name:
CHRISTIN
Provider Middle Name:
MICHELLE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
OT
Provider Gender Code:
F

Provider's Other Name Information

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

NPI Number Information

NPI Number:
1780923573
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/17/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15316 LOWELL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OVERLAND PARK
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66223-2765
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-961-6819
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
THE PEDIATRIC PLACE, LLC
Provider Second Line Business Practice Location Address:
210 SOUTH 2ND STREET, SUITE A
Provider Business Practice Location Address City Name:
CLINTON
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
660-885-2394
Provider Business Practice Location Address Fax Number:
660-383-1650
Provider Enumeration Date:
02/13/2013

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: 225X00000X , with the licence number:  2015004736 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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