Kischa Moton

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057003075 Issued in IL

Practice address

3019 Lincoln Ave
East Saint Louis, IL 62204-1110

Phone

(618) 581-6638

NPI assigned

Jun 1, 2012

Last updated

Jun 1, 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 2

Addresses

Other identifiers 1

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": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1326309774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 LINCOLN AVE",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622041110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 LINCOLN AVE",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622041110",
            "telephone_number": "618-581-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTON",
        "first_name": "KISCHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057003075",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2009012937",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107216491",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metropolitan Diagnostics
• Thomas Mikkelson, MD
• Latasha Miller
• Elon Hymees Mitchell
• Kimberly J Mitchell
• Narsimha R Muddasani, M.D.
• Chennaiah Nadindla, MD
• Margaret M Nahass, PA-C, RN
• Nathan Health Care Center, L.L.C.
• Mary Beth E Neufeld-Wall, MSW, LCSW

• Occupational Therapy Assistant in East Saint Louis, IL
• Providers in East Saint Louis, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.