Active NPI
Kimberly Anne Dodd, OTR/L
- Occupational Therapist
- Grinnell, IA
National Provider Identifier
1295044014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 01369
- Practice address
- 210 4TH Ave
Grinnell, IA 50112-1898 - Phone
- (641) 236-7511
- NPI assigned
- Sep 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 01369 | IA | Primary |
Addresses
Primary practice location
210 4TH Ave
Grinnell, IA 50112-1898
Mailing address
210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-7511
Other names 1
- Kimberly Anne Davis
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01369 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1295044014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 4TH AVE",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501121898",
"telephone_number": "641-236-7511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 4TH AVE",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501121898",
"telephone_number": "641-236-7511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODD",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "01369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "DAVIS",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Grinnell, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.