Kelsie Deering

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

080450 Issued in IA

Legal business name

KELSIE DEERING

Practice address

1417 Fan Rd
Waukon, IA 52172-7729

Phone

(319) 540-2860

NPI assigned

Mar 23, 2016

Last updated

Mar 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelsie Deering, COTANPI 1184086506

Title

Occupational Therapy Assistant

Phone

(319) 540-2860

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelsie Deering, COTA/L

  • Occupational Therapy Assistant
  • Waukon, IA
  • NPI 1184086506
  NPD (past) Authorized official

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1780046235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 FAN RD",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521727729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 FAN RD",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521727729",
            "telephone_number": "319-540-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSIE DEERING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "DEERING",
        "authorized_official_first_name": "KELSIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "319-540-2860",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "IA",
            "license": "080450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Lynell Hunter, PMHNP-BC
• Anna Immekus, NP
• Erin Iverson
• Sarah Lynn Jackson, RN
• Hannah Rebecca Kelly, RN, BAN, ARNP, FNP-C
• Mason Lee Kerian
• Andrea Michele Krogman, APNP
• William Francis Loebig, CRNA
• Rose Marie Magner, RD, LD
• Makee Manor Inc

• Rehabilitation Hospital in Waukon, IA
• Providers in Waukon, IA by specialty
• Rehabilitation Hospital in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.