Kendra Danielle Hyde, 60978136OTA.OC

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

60978136OTA.OC Issued in WA

Practice address

800 Medcalf St
Montesano, WA 98563

Phone

(360) 249-2273

NPI assigned

Jul 23, 2019

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)

Not enrolled

State licenses

Practice roles

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.

• 800 Medcalf Lane North Operations LLC

  • Skilled Nursing Facility
  • Montesano, WA
  • NPI 1386028397
  NPD (past)
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025
  NPD (past)

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1851944342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MEDCALF ST",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985633414",
            "telephone_number": "858-472-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEDCALF ST",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "98563",
            "telephone_number": "360-249-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 W Byles Ave",
            "address_purpose": "LOCATION",
            "city": "Montesano",
            "state": "WA",
            "postal_code": "985633414",
            "country_code": "US",
            "telephone_number": "858-472-8895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "735 W Byles Ave",
            "address_purpose": "LOCATION",
            "city": "Montesano",
            "state": "WA",
            "postal_code": "985633414",
            "country_code": "US",
            "telephone_number": "858-472-8895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "735 W Byles Ave",
            "address_purpose": "LOCATION",
            "city": "Montesano",
            "state": "WA",
            "postal_code": "985633414",
            "country_code": "US",
            "telephone_number": "858-472-8895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Medcalf St",
            "address_purpose": "LOCATION",
            "city": "Montesano",
            "state": "WA",
            "postal_code": "985639856",
            "country_code": "US",
            "telephone_number": "360-249-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYDE",
        "first_name": "KENDRA",
        "middle_name": "DANIELLE",
        "credential": "60978136OTA.OC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "60978136OTA.OC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Renee Hammon, PTA
• Joshua Yosemite Haney, LMT
• Janet Hanson
• Don Hoefert Jr., PTA
• Hometown Family Health
• Brittany Ann Jackson, PT, DPT
• Grant Wells Jackson, MD
• Stephanie Janssen, LMHCA
• Brooke Mercedes Joaquin
• Mikaila Ann Johnson, OTR

• All providers in Montesano, WA
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.