Kellie Sue Prescott

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

000791 Issued in IA

Practice address

710 N 12TH St
Guthrie Center, IA 50115-1536

Phone

(641) 332-3810

NPI assigned

Jul 29, 2024

Last updated

Jul 29, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1255160388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2584 130TH ST",
            "city": "BAGLEY",
            "state": "IA",
            "postal_code": "500268522",
            "telephone_number": "712-790-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N 12TH ST",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501151536",
            "telephone_number": "641-332-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESCOTT",
        "first_name": "KELLIE",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IA",
            "license": "000791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Jean Muller, M.A. CCC-SLP
• Daniel Nelson, DDS
• Virginia Anne Nelson, MS SLP
• Deeann Wedemeyer Oleson, PHARM.D.
• Opco Guthrie Center, Ia, LLC
• Julia Priestley, PHARM D
• Andrea Redfern, D.P.T
• Stephanie M Reinhart, ARNP
• Marcia Carol Roenfeld, ARNP
• Jeffrey Ronald Roske, D.O.

• Occupational Therapy Assistant in Guthrie Center, IA
• Providers in Guthrie Center, IA by specialty
• Occupational Therapy Assistant in Iowa

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

Verify at the official NPI Registry.