Kiersten A Smith, MOTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00003454 Issued in WA

Practice address

Fort Vancouver Convalescent Center
8507 NE 8TH Way
Vancouver, WA 98664

Phone

(360) 254-5335

Fax

(360) 892-2086

NPI assigned

May 24, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346451283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21018 NE 212TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986049617",
            "telephone_number": "360-687-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FORT VANCOUVER CONVALESCENT CENTER",
            "address_2": "8507 NE 8TH WAY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98664",
            "telephone_number": "360-254-5335",
            "fax_number": "360-892-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIERSTEN",
        "middle_name": "A",
        "credential": "MOTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003454",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1056214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Smith
• Kateri Cheyenne Smith
• Kelly C Smith, D.C.
• Kepler Sage Smith, MSW
• Kevin Joseph Smith, D.D.S.
• Leslie Smith, PHD
• Libbie Smith
• Linda H Smith, OTR/L
• Lonnie Rae Smith
• Lynne Marie Smith, MS

• Occupational Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Occupational Therapist in Washington

• 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.

Verify at the official NPI Registry.