Active NPI
Noelle Kristen Byrum, OTR/L
- Occupational Therapist
- Kissimmee, FL
National Provider Identifier
1629607965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 19645
- Practice address
- 1290 Celebration Blvd
Kissimmee, FL 34747-4692 - Phone
- (321) 337-7400
- NPI assigned
- Apr 8, 2020
- Last updated
- Apr 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 19645 | FL | Primary |
Addresses
Primary practice location
1290 Celebration Blvd
Kissimmee, FL 34747-4692
Mailing address
3200 Old Winter Garden Rd Apt 2217
Ocoee, FL 34761-4534
Phone (703) 328-3029
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19645 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1629607965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 OLD WINTER GARDEN RD APT 2217",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614534",
"telephone_number": "703-328-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 CELEBRATION BLVD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347474692",
"telephone_number": "321-337-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRUM",
"first_name": "NOELLE",
"middle_name": "KRISTEN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-08",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "19645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
- BVL Family Practice and Specialty Center, Inc (BVL Family Medical Center)
- BVL Pediatrics LLC (BVL Pediatrics)
- Stephanie Bycroft, FNP
- Ashley Cramer Byno, M.D.
- John Byrd, MA
- C Family Focus and Solutions, Inc
- C&M Healthpro LLC
- C3 Wellness, LLC (C3 Wellness Spa)
- Candise Cecilia Cabado, MSN NP
- Laritza Cabale Reyes, BACB448139
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.