Stacey Northrup, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

277012 Issued in KY

Practice address

1053 Lovers LN
Bowling Green, KY 42103-7166

Phone

(502) 633-1007

NPI assigned

Aug 2, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1407583347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 LOVERS LN",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037166",
            "telephone_number": "502-633-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHRUP",
        "first_name": "STACEY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "277012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.kidtherapy.org",
            "affiliation": "N",
            "endpointDescription": "company secure records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1053 Lovers Ln",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421037166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lindsey Nicole Noltkamper
• Robert Keith Norman, CRNA
• Andrea M. Norris, R.D.
• Nicholas Norris
• Sheri Linn Norris, CSW
• Norton Children'S Medical Group - Bowling Green LLC
• Carolyn Norton, RBT
• Michelle Nowacki, PHARMD
• NP Group of Tim Long MD PSC
• NP Primary Care Clinical Services

• Pediatric Occupational Therapist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Pediatric Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.