Kelsey Madere

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.200192 Issued in LA

Practice address

39315 Swan Rd
Pearl River, LA 70452-5715

Phone

(504) 259-3281

NPI assigned

Jul 28, 2010

Last updated

Jul 28, 2010By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1043524358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39315 SWAN RD",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704525715",
            "telephone_number": "504-259-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39315 SWAN RD",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704525715",
            "telephone_number": "504-259-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERE",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "LA",
            "license": "OTA.200192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Clay Lee
• Diane Smith Lewis, RN
• Amanda Ryals Lobrano, ED.S
• Ruthie Anita Long, APRN
• Tonette Marie Mabrey, LMT LA 9071
• Vincent Mancuso, PT
• Miley Meds Pharmacy LLC (Miley Meds Pharmacy)
• Clarence Clinton Miley Jr., RPH.
• Suzonne McCrory Morales, LPC
• Jeffery W. Nave, PH.D., LPC, LMFT

• Occupational Therapy Assistant in Pearl River, LA
• Providers in Pearl River, LA by specialty
• Occupational Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.