Active NPI
Kyann Jones
- Occupational Therapist
- Winona, MN
National Provider Identifier
1821869751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 104827
- Practice address
- 223 Center St
Winona, MN 55987-3595 - Phone
- (507) 429-2408
- NPI assigned
- Jan 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 104827 | MN | Primary |
Addresses
Primary practice location
223 Center St
Winona, MN 55987-3595
Mailing address
14301 Ewing Ave S
Burnsville, MN 55306-4885
Phone (952) 746-5350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240311002643 | MN | Practitioner - Occupational Therapist in Private Practice | 8123464351 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104827 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Excellence Inc | Current | Accepting new patients |
Locations
14301 Ewing Ave S
Burnsville, MN 55306
Phone (952) 746-0222
223 Center St
Winona, MN 55987
Phone (507) 474-4840
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1821869751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14301 EWING AVE S",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553064885",
"telephone_number": "952-746-5350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 CENTER ST",
"city": "WINONA",
"state": "MN",
"postal_code": "559873595",
"telephone_number": "507-429-2408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KYANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-10",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "104827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.