Active NPI
Kindra Donvan, MS OTR/L
- Occupational Therapist
- Williston, ND
National Provider Identifier
1114304581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1402
- Practice address
- 222 University Ave
Williston, ND 58801-5658 - Phone
- (701) 572-6757
- NPI assigned
- May 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1402 | ND | Primary |
Addresses
Primary practice location
222 University Ave
Williston, ND 58801-5658
Mailing address
222 University Ave
Williston, ND 58801-5658
Phone (701) 572-6757
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1402 | ND | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmac Special Education Unit | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Williston, ND
- NPI 1225185457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1114304581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 UNIVERSITY AVE",
"city": "WILLISTON",
"state": "ND",
"postal_code": "588015658",
"telephone_number": "701-572-6757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 UNIVERSITY AVE",
"city": "WILLISTON",
"state": "ND",
"postal_code": "588015658",
"telephone_number": "701-572-6757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONVAN",
"first_name": "KINDRA",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-05",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "1402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williston, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.