Individual provider Active NPI

Lyndsey Ann Kinane, OT, CHT

  • Hand Occupational Therapist
  • Petaluma, CA
National Provider Identifier
1184869000
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
1121 Issued in CA
Practice address
101 2ND St Apt 302
Petaluma, CA 94952-7404
Phone
(310) 990-2346
NPI assigned
Dec 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 1121 CA Primary
Occupational Therapist 225X00000X 1121 CA

Addresses

Primary practice location

101 2ND St Apt 302
Petaluma, CA 94952-7404

Mailing address

101 2ND St Apt 302
Petaluma, CA 94952-7404
Phone (310) 990-2346

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1121CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Center of Oregon Inc Occupational Therapist PastSince Sep 18, 2000 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9008/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1184869000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 2ND ST APT 302",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949527404",
            "telephone_number": "310-990-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 2ND ST APT 302",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949527404",
            "telephone_number": "310-990-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINANE",
        "first_name": "LYNDSEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OT, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "1121",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "1121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.