Active NPI
Kristine Lynn Dawson, OTR/L
- Pediatric Occupational Therapist
- Las Vegas, NV
National Provider Identifier
1346512910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 0654
- Practice address
- 5605 Old Stable Ave
Las Vegas, NV 89131-2061 - Phone
- (702) 768-4894
- NPI assigned
- Jan 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 0654 | NV | Primary |
Addresses
Primary practice location
5605 Old Stable Ave
Las Vegas, NV 89131-2061
Mailing address
5605 Old Stable Ave
Las Vegas, NV 89131-2061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100512190 | Medicaid | NV |
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 |
|---|---|---|---|
| 0654 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327795200000",
"number": "1346512910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5605 OLD STABLE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891312061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5605 OLD STABLE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891312061",
"telephone_number": "702-768-4894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "KRISTINE",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-29",
"last_updated": "2012-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NV",
"license": "0654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100512190",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.