Kylee Joanne House, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

214199 Issued in TX

Practice address

7712 County Road 1200
Grandview, TX 76050-4050

Phone

(817) 648-8223

NPI assigned

Jun 14, 2019

Last updated

Jun 14, 2019By 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

Other names 1

• Kylee Joanne Wallis Former name

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": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1053971788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 COUNTY ROAD 1200",
            "city": "GRANDVIEW",
            "state": "TX",
            "postal_code": "760504050",
            "telephone_number": "817-648-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7712 COUNTY ROAD 1200",
            "city": "GRANDVIEW",
            "state": "TX",
            "postal_code": "760504050",
            "telephone_number": "817-648-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "KYLEE",
        "middle_name": "JOANNE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLEE",
            "last_name": "WALLIS",
            "middle_name": "JOANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grandview Resthome Assn (Grandview Nursing and Rehabilitation Center)
• Grandview Resthome Association, Inc., Grandview, Johnson County, Texas (Grandview Nursing Home)
• Michael Ray Grier, DDS
• Lessie Harlin Jr., APRN
• Dwight A Hines II, M.D.
• Jody Rena Janek
• Kandace R Collins DDS, PC (Grandview Dental)
• Elisabeth Nicole Krchmar
• Stacy Law, MS, CCC-SLP
• Amanda Renee McDaniel, PMHNP

• Occupational Therapy Assistant in Grandview, TX
• Providers in Grandview, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.