Carlee Christianson, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

080411 Issued in IA

Practice address

509 Buddy Holly Place
Clear Lake, IA 50428-1359

Phone

(641) 357-5056

NPI assigned

Dec 10, 2015

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abcm Corporation

  • Rehabilitation Clinic/Center
  • Clear Lake, IA
  • NPI 1083081707
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 10, 2015.

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1356716765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "address_2": "1320 4TH",
            "city": "HAMPTON",
            "state": "IA",
            "postal_code": "504411104",
            "telephone_number": "641-357-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 BUDDY HOLLY PLACE",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281359",
            "telephone_number": "641-357-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSON",
        "first_name": "CARLEE",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IA",
            "license": "080411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent E Brunsting, MD
• Kathryn M Bunge, LISW
• Kaden Cameron
• Patrick Gerald Carney, DDS
• Anntaluhla Celestine
• Marla Christopher, LPN
• City of Clear Lake City Clerk
• Clear Lake Community School District
• Clear Lake Community Schools
• Clear Lake Ia Skilled Nursing Facility, LLC

• All providers in Clear Lake, IA
• Occupational Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.