Individual provider Active NPI

Kimberly George Nay, OTR/L

  • Pediatric Occupational Therapist
  • Greenville, NC
National Provider Identifier
1871753814
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
3600 Issued in NC
Practice address
949 Teakwood Dr
Greenville, NC 27834-0831
Phone
(252) 916-5022
NPI assigned
Jun 12, 2008
Last updated
Jun 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 3600 NC Primary

Addresses

Primary practice location

949 Teakwood Dr
Greenville, NC 27834-0831

Mailing address

949 Teakwood Dr
Greenville, NC 27834-0831
Phone (252) 916-5022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3600NCMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1871753814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 TEAKWOOD DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278340831",
            "telephone_number": "252-916-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 TEAKWOOD DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278340831",
            "telephone_number": "252-916-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAY",
        "first_name": "KIMBERLY",
        "middle_name": "GEORGE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "3600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.