Individual provider Active NPI

Kelly C Hilderbrand

  • Occupational Therapy Assistant
  • Enfield, NH
National Provider Identifier
1245568419
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
0594 Issued in NH
Practice address
35 Anderson Hill Rd
Unit 3
Enfield, NH 03748-3155
Phone
(603) 304-9184
NPI assigned
Nov 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 0594 NH Primary

Addresses

Primary practice location

35 Anderson Hill Rd
Unit 3
Enfield, NH 03748-3155

Mailing address

35 Anderson Hill Rd
Unit 3
Enfield, NH 03748-3155

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
0594NHMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1245568419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ANDERSON HILL RD",
            "address_2": "UNIT 3",
            "city": "ENFIELD",
            "state": "NH",
            "postal_code": "037483155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ANDERSON HILL RD",
            "address_2": "UNIT 3",
            "city": "ENFIELD",
            "state": "NH",
            "postal_code": "037483155",
            "telephone_number": "603-304-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDERBRAND",
        "first_name": "KELLY",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NH",
            "license": "0594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.