Active NPI
Katie A Lingle, MOT OTRL
- Occupational Therapist
- Clinton, IA
National Provider Identifier
1255348447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 01652
- Practice address
- 1377 11TH St NW
Clinton, IA 52732-5068 - Phone
- (563) 241-4230
- Fax
- (563) 241-4233
- NPI assigned
- Aug 1, 2006
- 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 | 01652 | IA | Primary |
Addresses
Primary practice location
1377 11TH St NW
Clinton, IA 52732-5068
Mailing address
1377 11TH St NW
Clinton, IA 52732-5068
Phone (563) 241-4230
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56277 | Other | IA | BLUE CROSS BLUE SHIELD |
| 0665711 | Medicaid | IA | |
| I20664 | Other | IA | MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01652 | IA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1255348447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 11TH ST NW",
"city": "CLINTON",
"state": "IA",
"postal_code": "527325068",
"telephone_number": "563-241-4230",
"fax_number": "563-241-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1377 11TH ST NW",
"city": "CLINTON",
"state": "IA",
"postal_code": "527325068",
"telephone_number": "563-241-4230",
"fax_number": "563-241-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINGLE",
"first_name": "KATIE",
"middle_name": "A",
"credential": "MOT OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "01652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "56277",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0665711",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "I20664",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.