Andrea D Conatser, DI

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

5455 W Highway 60
Owingsville, KY 40360-9027

Phone

(859) 585-8525

Fax

(859) 498-5198

NPI assigned

Jun 23, 2008

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

• Gateway Developmental Intervention Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114188133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 W HIGHWAY 60",
            "city": "OWINGSVILLE",
            "state": "KY",
            "postal_code": "403609027",
            "telephone_number": "859-585-8525",
            "fax_number": "859-498-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 W HIGHWAY 60",
            "city": "OWINGSVILLE",
            "state": "KY",
            "postal_code": "403609027",
            "telephone_number": "859-585-8525",
            "fax_number": "859-498-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONATSER",
        "first_name": "ANDREA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "DI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY EARLY INTERVENTION SYSTEM PROVIDER ID#",
            "identifier": "02852",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GATEWAY",
            "last_name": "DEVELOPMENTAL INTERVENTION",
            "credential": "M.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• All providers in Owingsville, KY
• Developmental Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.