Mikaela Kerkman

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

16519 Issued in CA

Practice address

2586 Buthmann Ave
Tracy, CA 95376-2165

Phone

(209) 832-2273

NPI assigned

Feb 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1558785394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2586 BUTHMANN AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762165",
            "telephone_number": "209-832-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2586 BUTHMANN AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762165",
            "telephone_number": "209-832-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERKMAN",
        "first_name": "MIKAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-14",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119008265",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "160672",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "16519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Natasha Marie Kennard
• Diane Marie Kennedy, NP
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• Rebecca Lynn Keswick
• Kevin Cambra (Site for Sore Eyes)
• Julian Dre Keys
• Jurell Ricardo Keys, RBT

• Occupational Therapist in Tracy, CA
• Providers in Tracy, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.