Active NPI
Kathryn McLennan
- Occupational Therapist
- Covington, LA
National Provider Identifier
1669993622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 305421
- Practice address
- 7015 Highway 190 East Service Rd Ste 103
Covington, LA 70433-4960 - Phone
- (985) 892-5716
- Fax
- (985) 892-5707
- NPI assigned
- Jun 29, 2017
- 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 | 305421 | LA | Primary |
Addresses
Primary practice location
7015 Highway 190 East Service Rd Ste 103
Covington, LA 70433-4960
Mailing address
220 Grand Oaks Dr
Madisonville, LA 70447-3166
Phone (504) 289-2191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305421 | Other | LA | OCCUPATIONAL LICENSE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498694400000",
"number": "1669993622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 GRAND OAKS DR",
"city": "MADISONVILLE",
"state": "LA",
"postal_code": "704473166",
"telephone_number": "504-289-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7015 HIGHWAY 190 EAST SERVICE RD STE 103",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704334960",
"telephone_number": "985-892-5716",
"fax_number": "985-892-5707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLENNAN",
"first_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-29",
"last_updated": "2017-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "305421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL LICENSE",
"identifier": "305421",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.