Kimberly Elaine De Long Hersh, MA OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

103040 Issued in MN

Practice address

1575 Beam Ave
Maplewood, MN 55109-1126

Phone

(651) 232-7128

NPI assigned

Nov 13, 2008

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1457505745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5352 27TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171930",
            "telephone_number": "612-728-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BEAM AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091126",
            "telephone_number": "651-232-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LONG HERSH",
        "first_name": "KIMBERLY",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "MA OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Beth Daniel
• Kyle Danielson, D.D.S.
• James Peter Davig, PH.D., LP
• Rachel L. Davis, DC
• Brieana Davison, CPM LM
• Alyssa Decker, DO
• Matthew Ryan Delamatter, M.A.
• Robert Delaune, M.D.
• Kim Delawyer, MA OTR
• Inga Dembinskaite, M.D.

• Occupational Therapist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.