Katherine Banovetz

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

106777 Issued in MN

Practice address

18334 Joplin St NW
Elk River, MN 55330-1773

Phone

(612) 270-4335

NPI assigned

Mar 8, 2022

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

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hands Hooves and Hearts Therapeutic Services LLC

  • Pediatric Occupational Therapist
  • Ramsey, MN
  • NPI 1891332599
  Medicare reassignment NPD

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1487301594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 ARCTIC WAY",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18334 JOPLIN ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301773",
            "telephone_number": "612-270-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANOVETZ",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "106777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylar Baham
• Demitu Baissa-Tesfahun
• Nicole Renee-Hauser Baker, PHD, LMFT
• Tasha Marie Baldwin
• Nina Philicia Bangu, RN, BSN
• Sophia Ren'E Barling
• Marilyn E Barnes, PNP
• Thomas Luke Bashaw, D.D.S.
• Elizabeth Baufield, AT
• Susan Ann Bawden

• Occupational Therapist in Elk River, MN
• Providers in Elk River, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.