Organization Active NPI

Cinicinnat Veterans Administration

  • Recreation Therapist
  • Bellevue, KY
National Provider Identifier
1801909254
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
Legal business name
CINICINNAT VETERANS ADMINISTRATION
Practice address
1040 Bellpointe Commons
Bellevue, KY 41073-1548
Phone
(859) 291-8267
NPI assigned
Aug 17, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Johannah Elizabeth Moran, CTRS
Title
Recreation Therapist
Phone
(859) 572-6218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225800000X Primary

Addresses

Primary practice location

1040 Bellpointe Commons
Bellevue, KY 41073-1548

Mailing address

1040 Bellpointe Commons
Bellevue, KY 41073-1548
Phone (859) 291-8267

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801909254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 BELLPOINTE COMMONS",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "410731548",
            "telephone_number": "859-291-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 BELLPOINTE COMMONS",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "410731548",
            "telephone_number": "859-291-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINICINNAT VETERANS ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JOHANNAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "RECREATION THERAPIST",
        "authorized_official_telephone_number": "859-572-6218",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CTRS"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.