Individual provider Active NPI

Kelsey Ann Kinnare, OTD,

  • Pediatric Occupational Therapist
  • Falls Church, VA
National Provider Identifier
1417489741
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
0119007281 Issued in VA
Practice address
6231 Leesburg Pike
Suite 500
Falls Church, VA 22044-2102
Phone
(703) 536-1817
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 0119007281 VA Primary

Addresses

Primary practice location

6231 Leesburg Pike
Suite 500
Falls Church, VA 22044-2102

Mailing address

900 N Randolph St
Apt 1516
Arlington, VA 22203-1949

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
0119007281VAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1417489741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N RANDOLPH ST",
            "address_2": "APT 1516",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6231 LEESBURG PIKE",
            "address_2": "SUITE 500",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442102",
            "telephone_number": "703-536-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNARE",
        "first_name": "KELSEY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "OTD,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119007281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.