Individual provider Active NPI

Kimberly Dawn Meuret, COTA

  • Occupational Therapy Assistant
  • Grand Junction, CO
National Provider Identifier
1063857720
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Practice address
2425 Teller Ave
Grand Junction, CO 81501-5141
Phone
(970) 243-3381
Fax
(970) 549-4697
NPI assigned
May 7, 2013
Last updated
May 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2013

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 NU Primary

Addresses

Primary practice location

2425 Teller Ave
Grand Junction, CO 81501-5141

Mailing address

2987 1/2 Globe Willow Ave
Grand Junction, CO 81504-8661
Phone (970) 270-4481

Other names 1

  • Miss Kimberly Dawn Wayne 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

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1063857720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2987 1/2 GLOBE WILLOW AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815048661",
            "telephone_number": "970-270-4481",
            "fax_number": "970-549-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 TELLER AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815015141",
            "telephone_number": "970-243-3381",
            "fax_number": "970-549-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEURET",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "WAYNE",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.