Active NPI
Katherine Poppen, OTR/L
- Occupational Therapist
- Warsaw, MO
National Provider Identifier
1619301744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0888
- Practice address
- 1238 Commercial St
Warsaw, MO 65355-3157 - Phone
- (660) 438-2876
- NPI assigned
- Aug 26, 2013
- Last updated
- Aug 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Mental Health Associates PC | Past | 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.
-
- Skilled Nursing Facility
- Aberdeen, SD
- NPI 1447323530
-
- Clinical Psychologist
- Las Cruces, NM
- NPI 1134175763
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.