Active NPI
Kelli Ann Dupps, OTR L
- Occupational Therapist
- Tempe, AZ
National Provider Identifier
1639219793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3343
- Practice address
- 1245 W 1St St Apt 119
Tempe, AZ 85281-7617 - Phone
- (480) 459-8327
- NPI assigned
- Feb 7, 2007
- 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 | 3343 | AZ | Primary |
Addresses
Primary practice location
1245 W 1St St Apt 119
Tempe, AZ 85281-7617
Mailing address
1245 W 1St St Apt 119
Tempe, AZ 85281-7617
Phone (480) 459-8327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 896582 | Medicaid | AZ |
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 |
|---|---|---|---|
| 3343 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1639219793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 W 1ST ST APT 119",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852817617",
"telephone_number": "480-459-8327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 W 1ST ST APT 119",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852817617",
"telephone_number": "480-459-8327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPPS",
"first_name": "KELLI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OTR L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "3343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "896582",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.