Katherine Wisehart

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

363662 Issued in OR

Practice address

185 Stargazer Dr
Smith River, CA 95567-9390

Phone

(386) 576-6894

NPI assigned

Sep 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628294400000",
    "number": "1891243887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 STARGAZER DR",
            "city": "SMITH RIVER",
            "state": "CA",
            "postal_code": "955679390",
            "telephone_number": "386-576-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 STARGAZER DR",
            "city": "SMITH RIVER",
            "state": "CA",
            "postal_code": "955679390",
            "telephone_number": "386-576-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEHART",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2021-08-07",
        "certification_date": "2021-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214170",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "363662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Tran, DDS
• United Indian Health Services, Inc.
• Helena Joann Vipond, M.D.
• John D. Wassenmiller, D.D.S.
• Dwight Walter Winslow, MD

• Occupational Therapy Assistant in Smith River, CA
• Providers in Smith River, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; 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.