Individual provider Active NPI

Amber Kay Kisser, OT

  • Occupational Therapist
  • Westminster, CO
National Provider Identifier
1205490398
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0004823 Issued in CO
Practice address
7770 W 101St Ave
Westminster, CO 80021
Phone
(303) 500-5003
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0004823 CO Primary

Addresses

Primary practice location

7770 W 101St Ave
Westminster, CO 80021

Mailing address

1201 21St Ave Apt 4
Longmont, CO 80501-1345
Phone (920) 980-9493

Other practice location 1

5085 W 136th Ave
Broomfield, CO 80023-5700
Phone (844) 452-0863

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
OT.0004823COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1205490398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 21ST AVE APT 4",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011345",
            "telephone_number": "920-980-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 W 101ST AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80021",
            "telephone_number": "303-500-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5085 W 136th Ave",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800235700",
            "country_code": "US",
            "telephone_number": "844-452-0863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISSER",
        "first_name": "AMBER",
        "middle_name": "KAY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0004823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.