Kimberly Ann Waszkiewicz

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

06816 Issued in MD

Practice address

2017 Rock Glenn Blvd
Havre de Grace, MD 21078-2041

Phone

(443) 955-8678

NPI assigned

Apr 16, 2014

Last updated

Dec 10, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 321 Therapy, LLC

  • Occupational Therapist
  • Havre de Grace, MD
  • NPI 1336604123
  Authorized official Same address or phone

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1831519966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 ROCK GLENN BLVD",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782041",
            "telephone_number": "866-321-6672",
            "fax_number": "443-303-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 ROCK GLENN BLVD",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782041",
            "telephone_number": "443-955-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASZKIEWICZ",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warfield & Brown Health and Wellness Center, LLC
• Warfield & Brown Health and Wellness Center, LLC
• Cheryl Nadine Warner, MS, CCC-SLP
• Letisha Washington, LGPC
• Elizabeth Schueller Wasson, COTA/L
• Alexis Watson
• Taylor Dawn Watters, DPT
• Alexis Emma Weaver
• Weis Markets Inc (Weis Pharmacy)
• Wellness Salon

• Occupational Therapist in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.