Jennifer Kirkevold, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

5410 194TH Ave SE
Issaquah, WA 98027-8626

Phone

(425) 375-7665

NPI assigned

Feb 11, 2019

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

Practice roles

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.

• Kindering Center

  • Specialist
  • Bellevue, WA
  • NPI 1275670572
  NPD (past)
• Spectrum ABA Services of Ny

  • Behavior Analyst
  • Huntington, NY
  • NPI 1730682139
  NPD (past)

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1477019883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15707 SE 166TH PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980588289",
            "telephone_number": "425-894-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 194TH AVE SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278626",
            "telephone_number": "425-375-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKEVOLD",
        "first_name": "JENNIFER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Peters King, CRNA
• Jacky Kingsada, NP
• William H Kinnish, MD
• Sarah Foss Kinsley, DPT
• Abigail Kirk
• William B Kirshner, MD
• Celina Kisielewski, LMT
• Anasztazia Szofia Rosaleen Kiss
• Michael Kitsis, DMD
• Kathryn Corinne Kitzing, CP60324554; MC608611

• Occupational Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.