Individual provider Active NPI

Kimberley Nemeth-Garcia, OTR

  • Occupational Therapist
  • Fargo, ND
National Provider Identifier
1700629722
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1945 Issued in ND
Practice address
4152 30TH Ave S
Fargo, ND 58104-8524
Phone
(701) 364-9070
Fax
(701) 364-9071
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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 1945 ND Primary

Addresses

Primary practice location

4152 30TH Ave S
Fargo, ND 58104-8524

Mailing address

2200 20TH St SW
Jamestown, ND 58401-7500
Phone (701) 252-3850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260227001280 ND Practitioner - Occupational Therapist in Private Practice 9436630340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2200 20TH St SW
Jamestown, ND 58401-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1945NDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Carlsen Center Occupational Therapist CurrentSince Jan 13, 2026 Accepting new patients
Anne Carlsen Center PastSince Jun 23, 2024 Accepting new patients

Locations

4152 30th Ave S
Fargo, ND 58104
Phone (701) 364-2663

2016 S Washington St
Grand Forks, ND 58201
Phone (701) 757-4200

2200 20th St SW
Jamestown, ND 58401
Phone (701) 252-3850

701 3rd St NW
Jamestown, ND 58401
Phone (701) 252-3850

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1700629722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 20TH ST SW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584017500",
            "telephone_number": "701-252-3850",
            "fax_number": "701-952-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 30TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048524",
            "telephone_number": "701-364-9070",
            "fax_number": "701-364-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMETH-GARCIA",
        "first_name": "KIMBERLEY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.