Hailey Lucile Kahre

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-1504 Issued in ID

Practice address

501 W Idaho Blvd
Emmett, ID 83617-9694

Phone

(208) 365-3597

NPI assigned

Sep 15, 2017

Last updated

Sep 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Hailey Lucile Holcomb Former name

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": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1558880914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 EL PASO RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836077417",
            "telephone_number": "208-697-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W IDAHO BLVD",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179694",
            "telephone_number": "208-365-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHRE",
        "first_name": "HAILEY",
        "middle_name": "LUCILE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ID",
            "license": "OTA-1504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAILEY",
            "last_name": "HOLCOMB",
            "middle_name": "LUCILE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Isaksen, NP-C, PMHNP-BC
• Jeffrey L Henken DDS
• Juliette Jennings
• Logan Johnson, LMSW
• Jonathan Barrus DO PC (Gem Family Medicine)
• Christopher Kimball, OD
• King Physical Therapy P.C.
• Scott Glen King, M.P.T.
• Peggy Knodel, LMFT
• Randi Jo Korell, MS LCPC

• Occupational Therapy Assistant in Emmett, ID
• Providers in Emmett, ID by specialty
• Occupational Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; 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.