Emily Beth Kernan, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0038846 Issued in MO

Practice address

801 Brim St
Desloge, MO 63601-3441

Phone

(573) 431-0223

NPI assigned

Mar 2, 2012

Last updated

Mar 2, 2012By 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NHC Healthcare-Desloge LLC

  • Skilled Nursing Facility
  • Desloge, MO
  • NPI 1629013172
  NPD (past)

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1265706618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407B E CHESTNUT ST",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636013107",
            "telephone_number": "573-330-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BRIM ST",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636013441",
            "telephone_number": "573-431-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNAN",
        "first_name": "EMILY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "0038846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Linn Huck, D.C
• Tyce Huck, DC
• Stephanie Catherine Hughes, M.A., CF-SLP
• Angela Dawn Ibaviosa, R.PH.
• McKenzie Lee Kaughman, COTA
• Dora Orena Lashley
• Laurence Lum, D.O.
• Rob Luna
• Leah M Lysaght, OT/L
• Laura Michelle McClure

• Occupational Therapy Assistant in Desloge, MO
• Providers in Desloge, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.