Kagen Lee Tranum, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

121281 Issued in TX

Practice address

850 Tower Dr Ste 112
Odessa, TX 79761-4252

Phone

(432) 614-0595

NPI assigned

Jan 25, 2021

Last updated

Mar 15, 2021By 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

Other names 1

• Kagen Lee Parks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrive Therapy of Texas

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1598547309

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1235729047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 SHEA LN",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797067198",
            "telephone_number": "432-413-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 TOWER DR STE 112",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614252",
            "telephone_number": "432-614-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANUM",
        "first_name": "KAGEN",
        "middle_name": "LEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAGEN",
            "last_name": "PARKS",
            "middle_name": "LEE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexander Tran, DDS
• Alvis Tran, MD
• Quyen Tran, DMD
• Trans Pecos Emergency Physicians
• Holly Trantham, PHARMD
• Tri-Physical Therapy and Wellness Center LLC
• Cynthia Darlene Trifon, LPC
• Trinity Family Practice & Urgent Care LLC
• Trinity Healthcare of West Texas, Inc.
• Triton Surgical Associates PA (Odessa General Surgery)

• Occupational Therapist in Odessa, TX
• Providers in Odessa, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.