Kathryn Elyse McKissick, LOTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

308035 Issued in LA

Practice address

865 Hatchell LN
Denham Springs, LA 70726-3019

Phone

(225) 380-1894

NPI assigned

Feb 8, 2018

Last updated

Feb 8, 2018By the provider in NPPES

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

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1881193480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SUZANNE DEJEAN DR",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 HATCHELL LN",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707263019",
            "telephone_number": "225-380-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKISSICK",
        "first_name": "KATHRYN",
        "middle_name": "ELYSE",
        "credential": "LOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "308035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cierra McDaniel, L/CCC-SLP
• Leah Thompson McDaniel, MOTR/L
• Mallory Ann McDaniel, RSW
• Valerie Brianne McDonald
• Kristin Davies McIntyre, PA-C
• Ollie McKneely
• Amanda S. McMorris, MA, CCC-SLP
• Robin McNeil
• Hannah Fay Meadors, DDS
• Frances Nicole Means

• Pediatric Occupational Therapist in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Pediatric Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.