Active NPI
Kaitlann King, OTD, OTR/L
- Occupational Therapist
- Gretna, NE
National Provider Identifier
1124500210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2251
- Practice address
- 820 Village SQ
Gretna, NE 68028-7914 - Phone
- (402) 932-0747
- NPI assigned
- Sep 5, 2018
- 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 | 2251 | NE | Primary |
Addresses
Primary practice location
820 Village SQ
Gretna, NE 68028-7914
Mailing address
18919 Howe St
Omaha, NE 68130-6064
Phone (308) 940-0956
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1124500210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18919 HOWE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681306064",
"telephone_number": "308-940-0956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 VILLAGE SQ",
"city": "GRETNA",
"state": "NE",
"postal_code": "680287914",
"telephone_number": "402-932-0747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "KAITLANN",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "2251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gretna, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.