Kimberly C. Veach, COTA/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

KY-A3791 Issued in KY

Practice address

2190 Old Route 146 Loop
Vienna, IL 62995-2416

Phone

(618) 658-2117

NPI assigned

Oct 24, 2007

Last updated

Oct 24, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1740479963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 OLD ROUTE 146 LOOP",
            "city": "VIENNA",
            "state": "IL",
            "postal_code": "629952416",
            "telephone_number": "618-658-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 OLD ROUTE 146 LOOP",
            "city": "VIENNA",
            "state": "IL",
            "postal_code": "629952416",
            "telephone_number": "618-658-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEACH",
        "first_name": "KIMBERLY",
        "middle_name": "C.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "KY-A3791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene R Terbrak, M.S.
• Ashley Thomas, BSW MHP
• Cynthia Tremblay, COTA L, QMRP
• Gregory Allen Turner, MSW, QMHP
• Marisa Varney, MS QMHP
• Zachary Veinotte, BSW
• Vienna High School
• Vienna Public School District #55 (Vienna Grade School)
• Rachael Visser, BA MHP
• Riley Warren, BA, MHP

• Specialist in Vienna, IL
• Providers in Vienna, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.