Tayte Janette Koussa-Bingman, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61130776 Issued in WA

Practice address

3730 Plaza Way
Kennewick, WA 99338-2718

Phone

(509) 221-6550

NPI assigned

Mar 2, 2021

Last updated

Mar 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1730774712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 PLAZA WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382718",
            "telephone_number": "509-221-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 PLAZA WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382718",
            "telephone_number": "509-221-6550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 S Auburn St",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993365621",
            "country_code": "US",
            "telephone_number": "509-221-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOUSSA-BINGMAN",
        "first_name": "TAYTE",
        "middle_name": "JANETTE",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61130776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Koskinen
• Kern A. Kostenko, CRNA
• Yuliya Kostyuchenko, CPHT
• Sridivya Kosuri, MD
• Kelsey Breanne Koukol, CNA
• Louis K Koussa, D.O.
• Max M Kovatch
• Bailey Nicole Kowalski, DC
• Ryan Douglas Kraus, MD
• Loren Krause, CRNA

• Occupational Therapist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.