Kathleen Kay Otten

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

R018685 Issued in SD

Practice address

131 N Poplar Ave
Tea, SD 57064-2152

Phone

(605) 498-2702

Fax

(605) 498-2702

NPI assigned

May 3, 2018

Sex

Female

Sole proprietor

Yes

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": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1053800201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N POPLAR AVE",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642152",
            "telephone_number": "605-498-2700",
            "fax_number": "605-498-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N POPLAR AVE",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642152",
            "telephone_number": "605-498-2702",
            "fax_number": "605-498-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTEN",
        "first_name": "KATHLEEN",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "SD",
            "license": "R018685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas J. Shawd D.D.S., P.C.
• Maciah Nobles, OTD
• Emma Lynn Nyquist
• Ellen Oppold, MA, LPC-MH, QMHP
• Orthopedic Institute PC
• Audra Panek, PA-C
• Sara Ann Panek, PT, DPT
• Perspective Health Chiropractic & Wellness
• Dale Justin Peters
• Amy Petersen, MA, CCC-SLP

• Wound Care Registered Nurse in Tea, SD
• Providers in Tea, SD by specialty
• Wound Care Registered Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.