Active NPI
Kandice Yurkiewicz
- Occupational Therapist
- Little Egg Harbor TWP, NJ
National Provider Identifier
1881019404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR006051
- Practice address
- 1001 Center St
Little Egg Harbor TWP, NJ 08087-1347 - Phone
- (609) 296-9292
- NPI assigned
- Feb 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR006051 | NJ | Primary |
Addresses
Primary practice location
1001 Center St
Little Egg Harbor TWP, NJ 08087-1347
Mailing address
1001 Center St
Little Egg Harbor TWP, NJ 08087-1347
Phone (609) 296-9292
Other names 1
- Kandice Carlson
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR006051 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482796800000",
"number": "1881019404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 CENTER ST",
"city": "LITTLE EGG HARBOR TWP",
"state": "NJ",
"postal_code": "080871347",
"telephone_number": "609-296-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 CENTER ST",
"city": "LITTLE EGG HARBOR TWP",
"state": "NJ",
"postal_code": "080871347",
"telephone_number": "609-296-9292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YURKIEWICZ",
"first_name": "KANDICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-19",
"last_updated": "2016-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR006051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KANDICE",
"last_name": "CARLSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Little Egg Harbor TWP, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.