Active NPI
Katrina Kent
- Occupational Therapy Assistant
- Big Rapids, MI
National Provider Identifier
1730384173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5202006106
- Practice address
- 805 West Ave
Big Rapids, MI 49307-9274 - Phone
- (123) 179-3185
- NPI assigned
- Jun 17, 2007
- 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 Therapy Assistant | 224Z00000X | 5202006106 | MI | Primary |
Addresses
Primary practice location
805 West Ave
Big Rapids, MI 49307-9274
Mailing address
5581 17 Mile Rd NE
Cedar Springs, MI 49319-9511
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 |
|---|---|---|---|
| 5202006106 | MI | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730384173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5581 17 MILE RD NE",
"city": "CEDAR SPRINGS",
"state": "MI",
"postal_code": "493199511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 WEST AVE",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493079274",
"telephone_number": "123-179-3185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "KATRINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MI",
"license": "5202006106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.