Individual provider Active NPI

Kathleen L Plummer, C.O.T.A., V.R.A.

  • Low Vision Occupational Therapy Assistant
  • Oklahoma City, OK
National Provider Identifier
1184928087
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational Therapy AssistantTaxonomy code 224ZL0004X
License
989 Issued in OK
Practice address
501 N Douglas Ave
Oklahoma City, OK 73106-5007
Phone
(405) 232-4644
Fax
(405) 231-0238
NPI assigned
Jan 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 989 OK
Low Vision Occupational Therapy Assistant 224ZL0004X 989 OK Primary

Addresses

Primary practice location

501 N Douglas Ave
Oklahoma City, OK 73106-5007

Mailing address

501 N Douglas Ave
Oklahoma City, OK 73106-5007
Phone (405) 232-4644

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

LicenseStateTypeSpecialty
989OKMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1184928087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N DOUGLAS AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731065007",
            "telephone_number": "405-232-4644",
            "fax_number": "405-231-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N DOUGLAS AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731065007",
            "telephone_number": "405-232-4644",
            "fax_number": "405-231-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "C.O.T.A., V.R.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "989",
            "primary": false
        },
        {
            "code": "224ZL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Low Vision",
            "state": "OK",
            "license": "989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.