Active NPI
Kylee Nicole Flynn, OTR/L
- Occupational Therapist
- Saint Charles, MO
National Provider Identifier
1649976234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2023002815
- Practice address
- 2000 Elm St
Saint Charles, MO 63301-1750 - Phone
- (636) 443-4500
- NPI assigned
- Feb 6, 2023
- 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 | 2023002815 | MO | Primary |
Addresses
Primary practice location
2000 Elm St
Saint Charles, MO 63301-1750
Mailing address
3101 Sun Lake Dr
Saint Charles, MO 63301-3050
Phone (417) 499-6739
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 |
|---|---|---|---|
| 2023002815 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webb City R-7 School District | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1649976234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 SUN LAKE DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633013050",
"telephone_number": "417-499-6739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 ELM ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633011750",
"telephone_number": "636-443-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "KYLEE",
"middle_name": "NICOLE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2023-12-08",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2023002815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.