Kimberly Michna

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

105112 Issued in TX

Practice address

7545 Bosque Blvd
Waco, TX 76712-3713

Phone

(254) 235-1850

NPI assigned

May 10, 2007

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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Heart of Texas Region MHMR Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waco, TX
  • NPI 1639399132

  TX

  Medicare reassignment NPD
• Theradat, LLC

  • Hearing and Speech Clinic/Center
  • Waco, TX
  • NPI 1801009733
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1295940716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 BOSQUE BLVD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123713",
            "telephone_number": "254-235-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 BOSQUE BLVD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123713",
            "telephone_number": "254-235-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHNA",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "105112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175755102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall David Meyer, DDS
• Christopher Wayne Miars, D.O.
• Michael P Teichelmann MD PA
• Jill Francis Michaels, DDS
• Abbey Leeann Michel, MD
• Benetta L Mickens
• Anne Mickleburgh, PAC
• Patricia Jane Micklos, PSY.D.
• Kimberly L. Micus, M.D.
• Mid Tex Anesthesia Associates, PA

• All providers in Waco, TX
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.