Active NPI
Olivia M Kappel, LMT, CST, NUT
- Other Technician
- Lakeview, OR
National Provider Identifier
1508986365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 1667
- Practice address
- 628 N 1St St
Ste C
Lakeview, OR 97630-1506 - Phone
- (541) 947-5011
- Fax
- (541) 947-5013
- NPI assigned
- Mar 29, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 1667 | OR | Primary |
Addresses
Primary practice location
628 N 1St St
Ste C
Lakeview, OR 97630-1506
Mailing address
628 N 1St St
Ste C
Lakeview, OR 97630-1506
Phone (541) 947-5011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1667 | Other | OR | STATE LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1667 | OR | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508986365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 N 1ST ST",
"address_2": "STE C",
"city": "LAKEVIEW",
"state": "OR",
"postal_code": "976301506",
"telephone_number": "541-947-5011",
"fax_number": "541-947-5013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 N 1ST ST",
"address_2": "STE C",
"city": "LAKEVIEW",
"state": "OR",
"postal_code": "976301506",
"telephone_number": "541-947-5011",
"fax_number": "541-947-5013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPPEL",
"first_name": "OLIVIA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LMT, CST, NUT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "OR",
"license": "1667",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "1667",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeview, OR
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.