Individual provider Active NPI

Kierah Dawn Wonser, COTA/L

  • Occupational Therapy Assistant
  • Laramie, WY
National Provider Identifier
1104150622
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
COTA 737 Issued in WY
Practice address
503 S 18TH St
Laramie, WY 82070-4303
Phone
(307) 742-3728
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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 COTA 737 WY Primary

Addresses

Primary practice location

503 S 18TH St
Laramie, WY 82070-4303

Mailing address

1810 S 10TH St
Apt. D
Laramie, WY 82070-4695
Phone (307) 262-6143

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
COTA 737WYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1104150622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 S 10TH ST",
            "address_2": "APT. D",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704695",
            "telephone_number": "307-262-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S 18TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704303",
            "telephone_number": "307-742-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONSER",
        "first_name": "KIERAH",
        "middle_name": "DAWN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WY",
            "license": "COTA 737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.