Erica J Kiernan, PT/OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT12930 Issued in FL

Practice address

105 Mariner Health Way
Ste 213
St Augustine, FL 32086-3251

Phone

(904) 217-4259

Fax

(904) 217-4251

NPI assigned

Mar 4, 2007

Last updated

Jul 21, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1023147329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 SHAMROCK RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866562",
            "telephone_number": "904-794-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MARINER HEALTH WAY",
            "address_2": "STE 213",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863251",
            "telephone_number": "904-217-4259",
            "fax_number": "904-217-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERNAN",
        "first_name": "ERICA",
        "middle_name": "J",
        "credential": "PT/OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 21925",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Khalid, MD
• Shahmir Akbar Khan, DDS
• Anwar S Khokhar, MD
• Mitra Anoosheh Khosravi Flanigan, MD
• Taylor Kieffer, AUD
• Kihealth Inc. (Ki Health)
• Maria Victoria Kilayko Sicangco, MD
• Anthony H Kim, O.D.
• Eric G Kim, DO
• Carla Kimps, OTR LCHT

• Occupational Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.