Active NPI
Kerren D Brown, OTR
- Occupational Therapist
- Nipomo, CA
National Provider Identifier
1639401359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 432
- Practice address
- 1748 Northwood Rd
Nipomo, CA 93444-6636 - Phone
- (805) 219-0244
- NPI assigned
- Feb 5, 2010
- 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 | 432 | CA | Primary |
Addresses
Primary practice location
1748 Northwood Rd
Nipomo, CA 93444-6636
Mailing address
1748 Northwood Rd
Nipomo, CA 93444-6636
Phone (805) 219-0244
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 |
|---|---|---|---|
| 432 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1639401359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1748 NORTHWOOD RD",
"city": "NIPOMO",
"state": "CA",
"postal_code": "934446636",
"telephone_number": "805-219-0244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1748 NORTHWOOD RD",
"city": "NIPOMO",
"state": "CA",
"postal_code": "934446636",
"telephone_number": "805-219-0244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KERREN",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-05",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nipomo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.