Individual provider Active NPI

Cindy Bailey Kimble, MOT, LOTR

  • Occupational Therapist
  • Monroe, LA
National Provider Identifier
1861113938
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
301297 Issued in LA
Practice address
2401 Oliver Rd
Monroe, LA 71201-2934
Phone
(318) 516-0510
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X
Occupational Therapist 225X00000X 301297 LA Primary

Addresses

Primary practice location

2401 Oliver Rd
Monroe, LA 71201-2934

Mailing address

2514 New Natchitoches Rd
West Monroe, LA 71292-2121
Phone (318) 516-0510

Other practice location 1

205 Circle Dr
West Monroe, LA 71291-5305
Phone (318) 516-0510

Other practice location 2

2330 Highway 15
Winnsboro, LA 71295
Phone (318) 516-0510

Other practice location 3

2514 New Natchitoches Rd
West Monroe, LA 71292-2121
Phone (318) 516-0510

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address monroe@believeachievetherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230310002034 LA Practitioner - Occupational Therapist in Private Practice 0648643718 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Tubre, Lotr LLC Occupational Therapist CurrentSince Nov 28, 2022 Accepting new patients
Christi Holt Ma CCC SLP Past Accepting new patients
Smso Anesthesia, LLC PastSince Oct 11, 2020 Accepting new patients

Locations

810 N 29th St
Monroe, LA 71201
Phone (318) 323-1223

2401 Oliver Rd
Monroe, LA 71201
Phone (318) 235-4541

205 Circle Dr
West Monroe, LA 71291
Phone (318) 381-8520

2330 Highway 15
Winnsboro, LA 71295
Phone (318) 381-8520

Organizations & group practices 3

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": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1861113938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 NEW NATCHITOCHES RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712922121",
            "telephone_number": "318-516-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 OLIVER RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012934",
            "telephone_number": "318-516-0510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Circle Dr",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712915305",
            "country_code": "US",
            "telephone_number": "318-516-0510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2330 Highway 15",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "LA",
            "postal_code": "71295",
            "country_code": "US",
            "telephone_number": "318-516-0510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2514 New Natchitoches Rd",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712922121",
            "country_code": "US",
            "telephone_number": "318-516-0510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "CINDY",
        "middle_name": "BAILEY",
        "credential": "MOT, LOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "301297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "monroe@believeachievetherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "205 Circle Dr",
            "city": "West Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712915305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.

Verify at the official NPI Registry.