Kristen Danielle Dunaway, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4044 Issued in MS

Practice address

1901A Mission 66
Vicksburg, MS 39180-3711

Phone

(601) 638-5518

NPI assigned

Jul 18, 2023

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

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physical Therapy Center of Ocean Springs, LLC

  dba PT Solutions

  • Physical Therapist
  • Ocean Springs, MS
  • NPI 1578647780

  Occupational Therapist

  Medicare reassignment NPD
• Elite Performance and Rehab, LLC

  • Physical Therapy Clinic/Center
  • Vicksburg, MS
  • NPI 1255877346
  NPD (past)
• Jubilee Therapy, LLC

  • Speech-Language Pathologist
  • Vicksburg, MS
  • NPI 1417434986
  NPD (past)

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1083393805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901A MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-638-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901A MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-638-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAWAY",
        "first_name": "KRISTEN",
        "middle_name": "DANIELLE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "4044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Dianne Dowell
• Tonya Drake, DPC, LPC, NCC
• DRS. Coleman and Taylor, D.D.S., M.S.
• Selina Drummond
• Virginia Wilson Duke, PT
• Durst Discount Drugs, Inc
• Durst Discount Drugs, Inc.
• Stanley R Easterling, MD
• Daniel P Edney, MD
• Educare Senior Day Center (Vicksburg Branch)

• Occupational Therapist in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.