Individual provider Active NPI

Lilian Kaesa Latan

  • Occupational Therapy Assistant
  • New Castle, DE
National Provider Identifier
1497953269
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
U2-0000851 Issued in DE
Practice address
32 Buena Vista Dr
New Castle, DE 19720-4660
Phone
(302) 328-2580
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X U2-0000851 DE Primary

Addresses

Primary practice location

32 Buena Vista Dr
New Castle, DE 19720-4660

Mailing address

8 Colony Blvd
Apt 317
Wilmington, DE 19802-1465
Phone (302) 764-2165

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

State licenses

LicenseStateTypeSpecialty
U2-0000851DEMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497953269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 COLONY BLVD",
            "address_2": "APT 317",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198021465",
            "telephone_number": "302-764-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 BUENA VISTA DR",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197204660",
            "telephone_number": "302-328-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATAN",
        "first_name": "LILIAN",
        "middle_name": "KAESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "DE",
            "license": "U2-0000851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.