Active NPI
Kaylee M Lang, MS,OTR/L
- Occupational Therapist
- Jamestown, ND
National Provider Identifier
1407146202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1373
- Practice address
- 701 3Rd St NW
Jamestown, ND 58401-2963 - Phone
- (701) 252-3850
- NPI assigned
- Apr 13, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1373 | ND | Primary |
Addresses
Primary practice location
701 3Rd St NW
Jamestown, ND 58401-2963
Mailing address
701 3Rd St NW
Jamestown, ND 58401
Phone (701) 952-5142
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1373 | ND | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Carlsen Center | Occupational Therapist | Current | Accepting new patients |
Locations
701 3rd St NW
Jamestown, ND 58401
Phone (701) 252-3850
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1407146202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 3RD ST NW",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "58401",
"telephone_number": "701-952-5142",
"fax_number": "701-952-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 3RD ST NW",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584012963",
"telephone_number": "701-252-3850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "KAYLEE",
"middle_name": "M",
"credential": "MS,OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-13",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "1373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.