Kimberly Erika Dugas, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1896 Issued in AK

Practice address

3411 Lathrop St Ste a
Fairbanks, AK 99701-7462

Phone

(253) 691-7984

NPI assigned

Jan 28, 2008

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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1770760191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74325",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997074325",
            "telephone_number": "253-691-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 LATHROP ST STE A",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017462",
            "telephone_number": "253-691-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAS",
        "first_name": "KIMBERLY",
        "middle_name": "ERIKA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AK",
            "license": "1896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Dubenezic, RN
• Deborah Jean Dudley
• Timothy Antonio Dudley
• Elizabeth Duffy
• Starla M Dufresne, LMT
• Margaret Dullen
• Marc Jack Dumas, MD, FACEP, FAAEM
• Macherie Dunbar
• Galdys Duncan
• John Duncan

• Pediatric Occupational Therapist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Pediatric Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.