Individual provider Active NPI

Kimberly Paedae Cothran, OT

  • Specialist
  • New Orleans, LA
National Provider Identifier
1740583202
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OTT.200314 Issued in LA
Practice address
3700 Rue Nadine
New Orleans, LA 70131-5439
Phone
(504) 421-0768
NPI assigned
Dec 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Specialist 174400000X OTT.200314 LA Primary

Addresses

Primary practice location

3700 Rue Nadine
New Orleans, LA 70131-5439

Mailing address

822 S Clearview Pkwy RM 108
Harahan, LA 70123-3401
Phone (504) 736-1865

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

LicenseStateTypeSpecialty
OTT.200314LAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1740583202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S CLEARVIEW PKWY RM 108",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701233401",
            "telephone_number": "504-736-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 RUE NADINE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701315439",
            "telephone_number": "504-421-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTHRAN",
        "first_name": "KIMBERLY",
        "middle_name": "PAEDAE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "OTT.200314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.