Individual provider Active NPI

Kayla Dawn Henderson, MOTR/L

  • Occupational Therapist
  • Webb City, MO
National Provider Identifier
1700510666
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2008019646 Issued in MO
Practice address
411 N Madison St
Webb City, MO 64870-1238
Phone
(417) 673-6000
NPI assigned
Jul 14, 2022
Last updated
Jul 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2008019646 MO Primary

Addresses

Primary practice location

411 N Madison St
Webb City, MO 64870-1238

Mailing address

1803 Avondale Ave
Webb City, MO 64870-9642
Phone (417) 439-8264

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kaylahenderson@wcr7.org Direct

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

LicenseStateTypeSpecialty
2008019646MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Webb City R-7 School District PastSince Jul 17, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1700510666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 AVONDALE AVE",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648709642",
            "telephone_number": "417-439-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N MADISON ST",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648701238",
            "telephone_number": "417-673-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KAYLA",
        "middle_name": "DAWN",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2008019646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaylahenderson@wcr7.org",
            "affiliation": "N",
            "endpointDescription": "Webb City School District email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "411 N Madison St",
            "city": "Webb City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "648701238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Webb City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.