Active NPI
Lavonda D Kemp, COTA
- Occupational Therapy Assistant
- Texarkana, TX
National Provider Identifier
1346252723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 208167
- Practice address
- 3505 Summerhill Rd
Suite 17
Texarkana, TX 75503-3535 - Phone
- (903) 691-3734
- Fax
- (903) 793-7996
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 208167 | TX | Primary |
Addresses
Primary practice location
3505 Summerhill Rd
Suite 17
Texarkana, TX 75503-3535
Mailing address
PO Box 988
Texarkana, TX 75504-0988
Phone (903) 793-7994
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 |
|---|---|---|---|
| 208167 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346252723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 988",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755040988",
"telephone_number": "903-793-7994",
"fax_number": "903-793-7996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 SUMMERHILL RD",
"address_2": "SUITE 17",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755033535",
"telephone_number": "903-691-3734",
"fax_number": "903-793-7996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "LAVONDA",
"middle_name": "D",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "208167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.