Kimberly Hanna-Osullivan, O.T.R./L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3244 Issued in NM

Practice address

826 Camino de Monte Rey
Lifespan Therapy Services
Santa Fe, NM 87505-3977

Phone

(505) 954-9940

NPI assigned

Jul 2, 2014

Sex

Female

Sole proprietor

Yes

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1285040956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BOSQUE AZUL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079429",
            "telephone_number": "505-603-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 CAMINO DE MONTE REY",
            "address_2": "LIFESPAN THERAPY SERVICES",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053977",
            "telephone_number": "505-954-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA-OSULLIVAN",
        "first_name": "KIMBERLY",
        "credential": "O.T.R./L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "3244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.