Active NPI
Kathleen Nguyen, OTR
- Occupational Therapist
- San Francisco, CA
National Provider Identifier
1174074272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14396
- Practice address
- 57 Boardman PL
57B
San Francisco, CA 94103-4701 - Phone
- (281) 686-7813
- NPI assigned
- Oct 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14396 | CA | Primary |
| Occupational Therapist | 225X00000X | 115319 | TX |
Addresses
Primary practice location
57 Boardman PL
57B
San Francisco, CA 94103-4701
Mailing address
57 Boardman PL
57B
San Francisco, CA 94103-4701
Phone (281) 686-7813
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 |
|---|---|---|---|
| 115319 | TX | MD | Social Worker |
| 14396 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1174074272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 BOARDMAN PL",
"address_2": "57B",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941034701",
"telephone_number": "281-686-7813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 BOARDMAN PL",
"address_2": "57B",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941034701",
"telephone_number": "281-686-7813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KATHLEEN",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "14396",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "115319",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.