Kim Renee Guidara, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

A00200 Issued in MD

Practice address

Caton Manor Genesis Healthcare 3330 Wilkens Avenue
Baltimore, MD 21229

Phone

(410) 525-1544

NPI assigned

Apr 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598985707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5754 GOLDFINCH CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436093",
            "telephone_number": "410-461-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CATON MANOR GENESIS HEALTHCARE 3330 WILKENS AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "410-525-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDARA",
        "first_name": "KIM",
        "middle_name": "RENEE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "A00200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Gugsa, CRNP
• Dilip Guha-Ray, MD
• Chengcheng Gui
• Maria Althea Valencia Guiao
• Guidance Care Management
• Guided Path Recovery and Rehabilitation Services
• Guided Path Recovery and Rehabilitation Services
• Guidelight Health Services, LLC
• Guiding Insight, LLC
• Guiding Lite Inc

• Occupational Therapy Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Occupational Therapy Assistant in Maryland

• 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.