Chrysalis Cheyenne Kendall, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

016941 Issued in NY

Practice address

101 N Main St
Coupeville, WA 98239-3413

Phone

(360) 678-7619

NPI assigned

Oct 10, 2011

Last updated

Nov 2, 2018By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1801170832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W SENECA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503342",
            "telephone_number": "607-882-9520",
            "fax_number": "607-882-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393413",
            "telephone_number": "360-678-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "CHRYSALIS",
        "middle_name": "CHEYENNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60745668",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Blake Kaiser, M.S.W.,. A.C.S.W.,
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• Kulvinder Kaur, RDMS, RVT
• Michael Dennis Kazel, DO
• Talor Marie Kebel
• Kids Club Counseling LLC
• Jane King
• Jennifer Kinsey, MA, MFTC
• Brianna Lynn Kriley
• Jennifer Allison Laska, MA MFT, LMHC, CMHS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.