Kimberly Renee Prevo, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

01095 Issued in IA

Practice address

3255 Williams Blvd SW Ste 2
Cedar Rapids, IA 52404-1480

Phone

(319) 364-2311

Fax

(319) 364-9828

NPI assigned

Sep 19, 2008

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)

Not enrolled

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1740430347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 WILLIAMS BLVD SW STE 2",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524041480",
            "telephone_number": "319-364-2311",
            "fax_number": "319-364-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 WILLIAMS BLVD SW STE 2",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524041480",
            "telephone_number": "319-364-2311",
            "fax_number": "319-364-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVO",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "01095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Iowa Medical P C
• Jenifer B Presley, DPT
• Kyle Anthony Preuninger, ARNP
• Carissa Lynne Prevenas, BCBA
• Rachel Ann Preves
• Deborah Ann Price
• Jessica Price, DO
• Judith Price, LISW
• Nile Price, DPT
• Rebecca Price

• Occupational Therapist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.