Individual provider Active NPI

Britta L Vannatta, OTR

  • Occupational Therapist
  • Duluth, MN
National Provider Identifier
1336610203
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
105736 Issued in MN
Practice address
3826 W 5TH St
Duluth, MN 55807-1610
Phone
(262) 903-9480
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1336610203 MN
Occupational Therapist 225X00000X 6308-26 WI
Occupational Therapist 225X00000X 105736 MN Primary

Addresses

Primary practice location

3826 W 5TH St
Duluth, MN 55807-1610

Mailing address

3826 W 5TH St
Duluth, MN 55807-1610
Phone (292) 903-9480

Other practice location 1

305 N 12th Ave E Apt C
Duluth, MN 55805-2250
Phone (292) 903-9480

Other practice location 2

4195 Westberg Rd
Hermantown, MN 55811-2950
Phone (718) 216-9921

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Duluth

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1336610203MNMDOccupational Therapist
6308-26WIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1336610203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3826 W 5TH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558071610",
            "telephone_number": "292-903-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3826 W 5TH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558071610",
            "telephone_number": "262-903-9480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 N 12th Ave E Apt C",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558052250",
            "country_code": "US",
            "telephone_number": "292-903-9480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4195 Westberg Rd",
            "address_purpose": "LOCATION",
            "city": "Hermantown",
            "state": "MN",
            "postal_code": "558112950",
            "country_code": "US",
            "telephone_number": "718-216-9921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANNATTA",
        "first_name": "BRITTA",
        "middle_name": "L",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "1336610203",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6308-26",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Duluth",
            "affiliation": "N",
            "address_1": "4195 Westberg Rd",
            "city": "Hermantown",
            "state": "MN",
            "country_code": "US",
            "postal_code": "558112950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.