Kimberlee Marie Hetherington, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201004312 Issued in MI

Practice address

2700 Burcham Dr
East Lansing, MI 48823-3898

Phone

(517) 827-1069

Fax

(517) 336-1915

NPI assigned

Oct 31, 2018

Last updated

Oct 31, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1205303906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BURCHAM DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233898",
            "telephone_number": "517-827-1069",
            "fax_number": "517-336-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BURCHAM DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233898",
            "telephone_number": "517-827-1069",
            "fax_number": "517-336-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETHERINGTON",
        "first_name": "KIMBERLEE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Javier Herrera, M.D.
• Nolan Lloyd Herrington, D.O.
• Denise Soltow Hershey, N.P.
• Robert A Hershey, DDS
• Jamara Hester
• Tiffany Heutel, M.D.
• Tadd Kaeo Hiatt, MD
• Tamaria Hibbler, ATC
• Kelsie Hicks
• Rachel Hicks

• Occupational Therapist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.