Individual provider Active NPI

Kiara Grace Dulaney, OTR/L

  • Occupational Therapist
  • Rowlett, TX
National Provider Identifier
1023605896
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
120064 Issued in TX
Practice address
10010 Harmony Hill LN Apt 2316
Rowlett, TX 75089-0156
Phone
(601) 750-9094
NPI assigned
Dec 28, 2020
Last updated
Dec 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 120064 TX Primary

Addresses

Primary practice location

10010 Harmony Hill LN Apt 2316
Rowlett, TX 75089-0156

Mailing address

10010 Harmony Hill LN Apt 2316
Rowlett, TX 75089-0156
Phone (601) 750-9094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120064TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1023605896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 HARMONY HILL LN APT 2316",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750890156",
            "telephone_number": "601-750-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 HARMONY HILL LN APT 2316",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750890156",
            "telephone_number": "601-750-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULANEY",
        "first_name": "KIARA",
        "middle_name": "GRACE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "120064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.