Kathleen Louise Wiegman, COTA/L

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2007016351 Issued in MO

Practice address

6768 N US Highway 67
Florissant, MO 63034-2742

Phone

(314) 413-3657

NPI assigned

May 20, 2008

Last updated

May 20, 2008By 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 2

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1568629137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 PILOT HILL DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762739",
            "telephone_number": "636-922-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6768 N US HIGHWAY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342742",
            "telephone_number": "314-413-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGMAN",
        "first_name": "KATHLEEN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "2007016351",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2007016351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richanda Jene' Whitfield
• Samuel Dean Whitsel, DPT
• Paul Alan Whitten, O.D.
• Wholeheartedly LLC
• Cynthia Xakellis Wiederholt, M.D.
• Paulette Wilkes-Bass
• Daijha Wilkes, ATC
• Robyn Wilks, LMT, CRM, CFSD, CMMP
• Sherrie Elizabeth Williams-Rowe
• Amelia McCain Williams, CRNA

• Skilled Nursing Facility in Florissant, MO
• Providers in Florissant, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.