Active NPI
Katherine Dunn
- Pediatric Occupational Therapist
- Poulsbo, WA
National Provider Identifier
1649516543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT00003422
- Practice address
- 22104 Rhododendron LN NW
Poulsbo, WA 98370-9406 - Phone
- (360) 394-2957
- Fax
- (360) 779-8946
- NPI assigned
- Dec 20, 2012
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT00003422 | WA | Primary |
Addresses
Primary practice location
22104 Rhododendron LN NW
Poulsbo, WA 98370-9406
Mailing address
22104 Rhododendron LN NW
Poulsbo, WA 98370-9406
Phone (360) 394-2957
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NKSDKDUNN | Medicaid | WA |
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 |
|---|---|---|---|
| OT00003422 | WA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355961600000",
"number": "1649516543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22104 RHODODENDRON LN NW",
"city": "POULSBO",
"state": "WA",
"postal_code": "983709406",
"telephone_number": "360-394-2957",
"fax_number": "360-779-8946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22104 RHODODENDRON LN NW",
"city": "POULSBO",
"state": "WA",
"postal_code": "983709406",
"telephone_number": "360-394-2957",
"fax_number": "360-779-8946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "KATHERINE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-20",
"last_updated": "2012-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "OT00003422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NKSDKDUNN",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.