Active NPI
Kimberlee Nassar Vitrano
- Occupational Therapist
- Harvey, LA
National Provider Identifier
1235890088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTT.Z11268
- Practice address
- 501 Manhattan Blvd
Harvey, LA 70058-4443 - Phone
- (504) 349-7600
- NPI assigned
- Jan 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTT.Z11268 | LA | Primary |
Addresses
Primary practice location
501 Manhattan Blvd
Harvey, LA 70058-4443
Mailing address
822 S Clearview Pkwy
Harahan, LA 70123-3401
Phone (504) 736-1864
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTT.Z11268 | LA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Parish Schools | Current | Accepting new patients | |
| Jefferson Parish Public School System | Past | Accepting new patients |
Locations
501 Manhattan Blvd
Harvey, LA 70058
Phone (504) 349-7600
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Harvey, LA
- NPI 1518648377
-
- Local Education Agency (LEA)
- Marrero, LA
- NPI 1912028655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1235890088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 S CLEARVIEW PKWY",
"city": "HARAHAN",
"state": "LA",
"postal_code": "701233401",
"telephone_number": "504-736-1864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MANHATTAN BLVD",
"city": "HARVEY",
"state": "LA",
"postal_code": "700584443",
"telephone_number": "504-349-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITRANO",
"first_name": "KIMBERLEE",
"middle_name": "NASSAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-04",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "OTT.Z11268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harvey, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.