Individual provider Active NPI

Lindsey Hernandez, OTR

  • Pediatric Occupational Therapist
  • Colville, WA
National Provider Identifier
1366925927
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT61447348 Issued in WA
Practice address
217 S Hofstetter St
Colville, WA 99114-3239
Phone
(509) 684-7850
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT61447348 WA Primary
Occupational Therapy Assistant 224Z00000X 214696 TX
Pediatric Occupational Therapist 225XP0200X 122518 TX

Addresses

Primary practice location

217 S Hofstetter St
Colville, WA 99114-3239

Mailing address

2876 Deep Lake Lopps Rd
Colville, WA 99114-9311
Phone (509) 844-8578

Other practice location 1

801 Cantwell Ln
Corpus Christi, TX 78408-2605
Phone (361) 774-2626

Other names 1

  • Lindsey Cartwright Former name

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

LicenseStateTypeSpecialty
214696TXMDOccupational Therapy Assistant
122518TXMDPediatric Occupational Therapist
OT61447348WAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1366925927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2876 DEEP LAKE LOPPS RD",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991149311",
            "telephone_number": "509-844-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S HOFSTETTER ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991143239",
            "telephone_number": "509-684-7850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Cantwell Ln",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784082605",
            "country_code": "US",
            "telephone_number": "361-774-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LINDSEY",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT61447348",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214696",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "122518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "CARTWRIGHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.