Kimberly A Trout

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

U-1-0000528 Issued in DE

Practice address

301 W Market St
Georgetown, DE 19947-2317

Phone

(302) 856-4783

Fax

(302) 856-4784

NPI assigned

Oct 4, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of Delaware

  dba Indian River School District

  • Local Education Agency (LEA)
  • Selbyville, DE
  • NPI 1659415529
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1699059030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HOSIER ST",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "199759300",
            "telephone_number": "302-436-1000",
            "fax_number": "302-436-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MARKET ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472317",
            "telephone_number": "302-856-4783",
            "fax_number": "302-856-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUT",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U-1-0000528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tidalhealth Physician Network, Inc.
• Katie Tidwell, PTA
• Kathryn Ruth Tober, R.N.
• Ashley Marie Touchton, FNP
• Breanna Mackenzie Tovar-Diaz, RDN, LDN
• Melissa Tyler, P.A.
• United Medical & Home Health, Inc.
• Debbie Vaccaro
• Joel A Vanini, MSW LCSW
• Ana Vargas, FNP

• Occupational Therapist in Georgetown, DE
• Providers in Georgetown, DE by specialty
• Occupational Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.