Individual provider Active NPI

Karen Kovac Norman, OTR/L

  • Pediatric Occupational Therapist
  • Novato, CA
National Provider Identifier
1487211140
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2542 Issued in CA
Practice address
100 Rowland Way Ste 205
Novato, CA 94945-5041
Phone
(415) 492-4870
Fax
(415) 492-4871
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 2542 CA
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 2542 CA Primary

Addresses

Primary practice location

100 Rowland Way Ste 205
Novato, CA 94945-5041

Mailing address

2350 W El Camino Real FL 2
Mountain View, CA 94040-6203
Phone (650) 845-7649

Other practice location 1

117 Redwood Ave
Corte Madera, CA 94925-1411
Phone (415) 518-4036

Other practice location 2

1625 Van Ness Ave Fl 3
San Francisco, CA 94109-3369
Phone (415) 600-6200

Other practice location 3

412 Red Hill Ave # 4
San Anselmo, CA 94960-2450
Phone (415) 574-4409

Other identifiers 2

IdentifierTypeStateIssuer
2542OtherCAOTR/L
915373OtherCANBCOT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Normank@sutterhealth.org Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1487211140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W EL CAMINO REAL FL 2",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940406203",
            "telephone_number": "650-845-7649",
            "fax_number": "650-942-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROWLAND WAY STE 205",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455041",
            "telephone_number": "415-492-4870",
            "fax_number": "415-492-4871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Redwood Ave",
            "address_purpose": "LOCATION",
            "city": "Corte Madera",
            "state": "CA",
            "postal_code": "949251411",
            "country_code": "US",
            "telephone_number": "415-518-4036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 Van Ness Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941093369",
            "country_code": "US",
            "telephone_number": "415-600-6200",
            "fax_number": "415-749-1433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 Red Hill Ave # 4",
            "address_purpose": "LOCATION",
            "city": "San Anselmo",
            "state": "CA",
            "postal_code": "949602450",
            "country_code": "US",
            "telephone_number": "415-574-4409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "KAREN",
        "middle_name": "KOVAC",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "2542",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "2542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTR/L",
            "identifier": "2542",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "915373",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Normank@sutterhealth.org",
            "affiliation": "N",
            "endpointDescription": "Sutter email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "100 Rowland Way",
            "address_1": "100 Rowland Way Ste 205",
            "city": "Novato",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949455041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.