Kimberly Brown
Individual provider Active NPI Occupational Therapist · Plattsmouth, NE
NPI 1194153759 · NPPES record last updated Oct 17, 2013
Key facts
- NPI
- 1194153759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1745 (NE)
- Practice address
- 602 S 18TH St
Plattsmouth, NE 68048-2056 - Phone
- (402) 296-2800
- NPI assigned
- Oct 17, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1745 | NE | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1745 | NE | Yes |
Addresses
Primary practice location
602 S 18TH St
Plattsmouth, NE 68048-2056
Mailing address
14808 Erskine St
Omaha, NE 68116-5123
Phone (402) 884-7690
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 710811574 | Medicaid | NE |
Other providers in Plattsmouth, NE
- Blossom Bridge ABA LLC
- Trevor Bollinger
- Mindy Renae Bosanek
- Courtney Marie Bradley
- Jamie Brasuhn
- Susan C Brown
- Robyn Buhr
- Gwendolyn Marie Burns
- Kendrea Lu Butterfield
- Andrea Jae Carda
All providers in Plattsmouth, NE · Occupational Therapist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.