Active NPI
Katelyn Mickle, OTR/L
- Occupational Therapist
- Newport Beach, CA
National Provider Identifier
1801269493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14767
- Practice address
- 201 6TH St
A
Newport Beach, CA 92661-1193 - Phone
- (713) 249-1468
- NPI assigned
- Nov 4, 2015
- Last updated
- Nov 4, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14767 | CA | Primary |
Addresses
Primary practice location
201 6TH St
A
Newport Beach, CA 92661-1193
Mailing address
201 6TH St
A
Newport Beach, CA 92661-1193
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 |
|---|---|---|---|
| 14767 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1801269493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 6TH ST",
"address_2": "A",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926611193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 6TH ST",
"address_2": "A",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926611193",
"telephone_number": "713-249-1468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKLE",
"first_name": "KATELYN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-04",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "14767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
- Michele Lob, a Professional Corporation (DBT Center of Orange County)
- David Michelis, MD
- Michelle Aszterbaum MD Inc
- Michelle Shamardi, DDS a Dental Corporation
- Michelle Shamardi, DDS a Dental Corporation
- Microcosmos Acupuncture, Inc.
- Ashley Marie Midland, PA-C
- Kamer Migirdichian, D.C.
- Fadya Mikhael
- Nader Mikhail, MD, MPH, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.