Kelsey Shawn Pinkham
Individual provider Active NPI Occupational Therapist · Ely, NV
NPI 1194327346 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1194327346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT-2090 (NV)
- Practice address
- 1500 Avenue G
Ely, NV 89301-2539 - Phone
- (775) 289-8801
- NPI assigned
- Nov 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| OT-2090 | NV | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-2090 | NV | Yes |
Addresses
Primary practice location
1500 Avenue G
Ely, NV 89301-2539
Mailing address
783 Riverbend Dr
Clark, NJ 07066-1912
Phone (732) 713-0001
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Ely | Health Information Exchange (HIE) |
Other providers in Ely, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. 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.