Individual provider Active NPI

Kerrilee Suzanne Lopez, OTR

  • Occupational Therapist
  • Kingsville, TX
National Provider Identifier
1043850142
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
106023 Issued in TX
Practice address
1307 General Cavazos Blvd
Kingsville, TX 78363-7130
Phone
(361) 595-9405
NPI assigned
Jan 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 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 106023 TX Primary

Addresses

Primary practice location

1307 General Cavazos Blvd
Kingsville, TX 78363-7130

Mailing address

PO Box 822
Kingsville, TX 78364-0822
Phone (361) 595-9408

Other practice location 1

1500 E Houston St
Beeville, TX 78102-5312
Phone (361) 354-2177

Other practice location 2

2500 E Main St
Alice, TX 78332-4261
Phone (361) 661-8130

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
106023TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Spohn Health System Corporation PastSince Jan 12, 2020 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": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1043850142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783640822",
            "telephone_number": "361-595-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 GENERAL CAVAZOS BLVD",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783637130",
            "telephone_number": "361-595-9405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Houston St",
            "address_purpose": "LOCATION",
            "city": "Beeville",
            "state": "TX",
            "postal_code": "781025312",
            "country_code": "US",
            "telephone_number": "361-354-2177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 E Main St",
            "address_purpose": "LOCATION",
            "city": "Alice",
            "state": "TX",
            "postal_code": "783324261",
            "country_code": "US",
            "telephone_number": "361-661-8130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "KERRILEE",
        "middle_name": "SUZANNE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "106023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsville, TX

Sources for this page

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