Kimberly Lauren Seaward Whited, MS/OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT18311 Issued in FL

Practice address

410 10TH Ave W
Palmetto, FL 34221-5032

Phone

(941) 379-3725

Fax

(941) 377-1131

NPI assigned

Nov 5, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1285888198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SARASOTA CENTER BLVD STE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342409385",
            "telephone_number": "941-379-3725",
            "fax_number": "941-377-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 10TH AVE W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215032",
            "telephone_number": "941-379-3725",
            "fax_number": "941-377-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAWARD WHITED",
        "first_name": "KIMBERLY",
        "middle_name": "LAUREN",
        "credential": "MS/OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT18311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023285100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Palmetto, FL
• Providers in Palmetto, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.