Individual provider Active NPI

Katelyn Lanning

  • Occupational Therapy Assistant
  • Mount Vernon, WA
National Provider Identifier
1033754064
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OC61161445 Issued in WA
Practice address
320 Pacific PL
Mount Vernon, WA 98273-5463
Phone
(360) 416-7570
Fax
(360) 416-7580
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OC61161445 WA Primary

Addresses

Primary practice location

320 Pacific PL
Mount Vernon, WA 98273-5463

Mailing address

320 Pacific PL
Mount Vernon, WA 98273-5463
Phone (360) 416-7570

Other names 1

  • Katelyn Paddock Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OC61161445WAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skagit Preschool Association and Resource Center PastSince Apr 14, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1033754064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PACIFIC PL",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735463",
            "telephone_number": "360-416-7570",
            "fax_number": "360-416-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PACIFIC PL",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735463",
            "telephone_number": "360-416-7570",
            "fax_number": "360-416-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANNING",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC61161445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "PADDOCK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.