Active NPI
Lara C Kirkpatrick
- Occupational Therapist
- Atascadero, CA
National Provider Identifier
1245090364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10593
- Practice address
- 6895 Morro Rd
Atascadero, CA 93422-4122 - Phone
- (805) 637-0802
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 10593 | CA | Primary |
Addresses
Primary practice location
6895 Morro Rd
Atascadero, CA 93422-4122
Mailing address
267 Luneta Dr
San Luis Obispo, CA 93405-1519
Phone (095) 868-7232
Other practice location 1
267 Luneta Dr
San Luis Obispo, CA 93405-1519
Phone (805) 458-6596
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 |
|---|---|---|---|
| 10593 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1245090364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 LUNETA DR",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934051519",
"telephone_number": "095-868-7232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6895 MORRO RD",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934224122",
"telephone_number": "805-637-0802"
}
],
"practiceLocations": [
{
"address_1": "267 Luneta Dr",
"address_purpose": "LOCATION",
"city": "San Luis Obispo",
"state": "CA",
"postal_code": "934051519",
"country_code": "US",
"telephone_number": "805-458-6596",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRKPATRICK",
"first_name": "LARA",
"middle_name": "C",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "10593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.