Individual provider Active NPI

Katherine Poppen, OTR/L

  • Occupational Therapist
  • Warsaw, MO
National Provider Identifier
1619301744
Registry record updated Aug 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0888 Issued in SD
Practice address
1238 Commercial St
Warsaw, MO 65355-3157
Phone
(660) 438-2876
NPI assigned
Aug 26, 2013
Last updated
Aug 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0888 SD Primary

Addresses

Primary practice location

1238 Commercial St
Warsaw, MO 65355-3157

Mailing address

14547 Klink Ave
Cole Camp, MO 65325-2003

Other practice location 1

14547 Klink Ave
Cole Camp, MO 65325-2003
Phone (605) 924-1036

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Mental Health Associates PC PastSince Feb 16, 2015 Accepting new patients
Aberdeen Healthcare Center Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1619301744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14547 KLINK AVE",
            "city": "COLE CAMP",
            "state": "MO",
            "postal_code": "653252003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 COMMERCIAL ST",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653553157",
            "telephone_number": "660-438-2876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14547 Klink Ave",
            "address_purpose": "LOCATION",
            "city": "Cole Camp",
            "state": "MO",
            "postal_code": "653252003",
            "country_code": "US",
            "telephone_number": "605-924-1036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPPEN",
        "first_name": "KATHERINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "0888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2024; 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.