Kimberly Hope Yecke, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5014 Issued in SC

Practice address

672 Marina Dr Ste 104
Charleston, SC 29492-9084

Phone

(843) 475-6699

NPI assigned

Jan 29, 2020

Last updated

Jan 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1396376307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 N MORETO CIR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858870",
            "telephone_number": "843-475-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 MARINA DR STE 104",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294929084",
            "telephone_number": "843-475-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YECKE",
        "first_name": "KIMBERLY",
        "middle_name": "HOPE",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "5014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Elaine Yates, PA
• Khalialiah Yates, APRN
• Emily Y Ye, MD
• Leah Danielle Yeager, LISW-CP
• Kirtley Yearwood, M.D.
• Tatevik Yeghiazaryan, LMSW
• Ramya Sree Yeleti, DO
• Yellow Cab Company of Charleston (Yellow Cab Carriage)
• Jadelyn Anne Yep
• Julia Caroline Yerger

• Occupational Therapy Assistant in Charleston, SC
• Providers in Charleston, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.