Active NPI
Kirsten Woodard, OTR/L
- Occupational Therapist
- Palmer, AK
National Provider Identifier
1144875477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 148007
- Practice address
- 7200 E Jim Cottrell Circle
Palmer, AK 99645 - Phone
- (907) 982-3897
- Fax
- (866) 283-2986
- NPI assigned
- Aug 5, 2019
- 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 | 148007 | AK | Primary |
Addresses
Primary practice location
7200 E Jim Cottrell Circle
Palmer, AK 99645
Mailing address
PO Box 378
Palmer, AK 99645-0378
Phone (907) 982-5721
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
| License | State | Type | Specialty |
|---|---|---|---|
| 148007 | AK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1144875477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 378",
"city": "PALMER",
"state": "AK",
"postal_code": "996450378",
"telephone_number": "907-982-5721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 E JIM COTTRELL CIRCLE",
"city": "PALMER",
"state": "AK",
"postal_code": "99645",
"telephone_number": "907-982-3897",
"fax_number": "866-283-2986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "KIRSTEN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-05",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "148007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.