Jodi Kilen

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

631 4TH Ave East
West Fargo, ND 58078

Phone

(701) 356-2010

NPI assigned

May 4, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1851746226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MAIN ST",
            "city": "ABERCROMBIE",
            "state": "ND",
            "postal_code": "580010024",
            "telephone_number": "701-238-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 4TH AVE EAST",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "58078",
            "telephone_number": "701-356-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILEN",
        "first_name": "JODI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KILEN24",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sadie Ketteman
• Anne E Kidder, MD
• Samantha Kiecker, DC
• Ava Kieser
• Deidre Marie Kilde, RN
• Christina Lynn Kim
• Alison D Kindem, LMT
• Kinder Care, Inc.
• Robyn Lynn King, MSN, APRN, FNP-C
• Ellie Kleespies

• Occupational Therapy Assistant in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Occupational Therapy Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.