Angela Koester, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.004384 Issued in IL

Practice address

5250 N 100TH St
Dieterich, IL 62424

Phone

(217) 994-4977

NPI assigned

Oct 20, 2016

Last updated

Oct 20, 2016By 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

Other identifiers 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": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1437600897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 N 100TH ST",
            "city": "DIETERICH",
            "state": "IL",
            "postal_code": "624242024",
            "telephone_number": "217-994-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 N 100TH ST",
            "city": "DIETERICH",
            "state": "IL",
            "postal_code": "62424",
            "telephone_number": "217-994-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESTER",
        "first_name": "ANGELA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.004384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "24Z00000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• HSHS Prairie, Inc (HSHS Medical Group Family Medicine - Dieterich)
• Jennifer Tinsley Pmhnp-BC, PLLC (Life Story Behavioral Health)
• Kristen Rose Kennedy, M.S. CCC-SLP
• Jennifer Elizabeth Kistner, FNP
• Debra Kitten
• Morgan Rae Lidy
• Julie Marie Loy, M.A. CCC/SLP
• Mid-Illinois Medical Care Associates, LLC (Dieterich Community Medical Center)
• Morgan Michelle Repking
• Michelle Schnepper

• Occupational Therapy Assistant in Dieterich, IL
• Providers in Dieterich, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.