Individual provider Active NPI

Kimberly Ann Stewart, OTRIL

  • Ergonomics Occupational Therapist
  • Bismarck, ND
National Provider Identifier
1811049950
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ergonomics Occupational TherapistTaxonomy code 225XE1200X
License
369 Issued in ND
Practice address
1833 E Bismarck Expressway
Bismarck, ND 58504
Phone
(701) 323-5899
Fax
(701) 323-5867
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Occupational Therapist 225XE1200X 369 ND Primary

Addresses

Primary practice location

1833 E Bismarck Expressway
Bismarck, ND 58504

Mailing address

1833 E Bismarck Expressway
Bismarck, ND 58504
Phone (701) 323-5899

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811049950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 E BISMARCK EXPRESSWAY",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58504",
            "telephone_number": "701-323-5899",
            "fax_number": "701-323-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 E BISMARCK EXPRESSWAY",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58504",
            "telephone_number": "701-323-5899",
            "fax_number": "701-323-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTRIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "ND",
            "license": "369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.