L Shultis Kiernan, OTR

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT674 Issued in FL

Practice address

3401 Pga Blvd
500B
Palm Beach Gardens, FL 33410

Phone

(561) 366-0065

Fax

(561) 366-0078

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Action Hand Therapy Inc

  • Occupational Therapist
  • Palm Beach Gardens, FL
  • NPI 1881887073
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1174611719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31833",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334201833",
            "telephone_number": "561-366-0065",
            "fax_number": "561-366-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD",
            "address_2": "500B",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-366-0065",
            "fax_number": "561-366-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERNAN",
        "first_name": "L",
        "middle_name": "SHULTIS",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "OT674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "Z1322",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890472300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zafar M Khan, M.D.
• Joseph Nabil Khawand
• Sherif Shoukry Khedr, M.D.
• Katherine Kuretski Khoury
• Kid Gluvs
• Linda A Kiley, M.D.
• Colleen Elizabeth Kilgallon
• Raven M Killingbeck
• Linda Kay Killough, RN
• Kindred Nutrition LLC

• Specialist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.