Kaitlin Christine Petra Warner, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61098486 Issued in WA

Practice address

2901 Falk Rd
Vancouver, WA 98661-6392

Phone

(360) 313-1000

NPI assigned

Jan 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1790373645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15606 NE 4TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986843366",
            "telephone_number": "360-448-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 FALK RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616392",
            "telephone_number": "360-313-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Triangle Shopping Ctr Ste 270",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986324684",
            "country_code": "US",
            "telephone_number": "360-501-3750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "KAITLIN",
        "middle_name": "CHRISTINE PETRA",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "445146",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61098486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warner & Warner PLLC
• Catherine Warner, AAC
• Danny George Warner, DDS
• Emily Mae Warner
• Gail Elaine Warner, PSYCH.ARNP/PMHNP, BC
• Kenneth Robert Warner, AAS
• Michael Richard Warner, DDS
• Susan Marie Warnke, PA-C
• Brooklyn Warren
• Bryan Warren

• Occupational Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.