Active NPI
Joanna Kayla, COTA
- Contractor
- Everett, WA
National Provider Identifier
1780006601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- OC 00000811
- Practice address
- 1600 121St St SE
L103
Everett, WA 98208-5999 - Phone
- (425) 773-1653
- Fax
- (206) 694-2290
- NPI assigned
- Jan 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | OC 00000811 | WA | Primary |
Addresses
Primary practice location
1600 121St St SE
L103
Everett, WA 98208-5999
Mailing address
1600 121St St SE
L103
Everett, WA 98208-5999
Phone (425) 773-1653
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
| License | State | Type | Specialty |
|---|---|---|---|
| OC 00000811 | WA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389398400000",
"number": "1780006601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 121ST ST SE",
"address_2": "L103",
"city": "EVERETT",
"state": "WA",
"postal_code": "982085999",
"telephone_number": "425-773-1653",
"fax_number": "206-694-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 121ST ST SE",
"address_2": "L103",
"city": "EVERETT",
"state": "WA",
"postal_code": "982085999",
"telephone_number": "425-773-1653",
"fax_number": "206-694-2290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYLA",
"first_name": "JOANNA",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-11",
"last_updated": "2014-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "WA",
"license": "OC 00000811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.