Active NPI
Kristi Alana Conley, OTR/L
- Community Health Worker
- Chattaroy, WA
National Provider Identifier
1164772018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- OT00004028
- Practice address
- 13011 E Deer Creek Rd
Chattaroy, WA 99003-7001 - Phone
- (509) 951-3012
- NPI assigned
- Sep 18, 2012
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | OT00004028 | WA | Primary |
Addresses
Primary practice location
13011 E Deer Creek Rd
Chattaroy, WA 99003-7001
Mailing address
13011 E. Deer Creek Rd
Chattaroy, WA 99003-7001
Phone (509) 951-3012
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 |
|---|---|---|---|
| OT00004028 | WA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1164772018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13011 E. DEER CREEK RD",
"city": "CHATTAROY",
"state": "WA",
"postal_code": "990037001",
"telephone_number": "509-951-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13011 E DEER CREEK RD",
"city": "CHATTAROY",
"state": "WA",
"postal_code": "990037001",
"telephone_number": "509-951-3012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "KRISTI",
"middle_name": "ALANA",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-18",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "WA",
"license": "OT00004028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattaroy, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.