Active NPI
Kimberly Goldie Staines, OTR, CHT
- Hand Occupational Therapist
- Houston, TX
National Provider Identifier
1891746285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 109266
- Practice address
- 6560 Fannin St
Suite 450
Houston, TX 77030-2761 - Phone
- (713) 357-7400
- Fax
- (713) 357-7401
- NPI assigned
- May 12, 2006
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 109266 | TX | Primary |
Addresses
Primary practice location
6560 Fannin St
Suite 450
Houston, TX 77030-2761
Mailing address
13122 Skyview Landing Dr
Houston, TX 77047-8104
Phone (713) 702-2731
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 |
|---|---|---|---|
| 109266 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891746285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13122 SKYVIEW LANDING DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770478104",
"telephone_number": "713-702-2731",
"fax_number": "713-357-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6560 FANNIN ST",
"address_2": "SUITE 450",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302761",
"telephone_number": "713-357-7400",
"fax_number": "713-357-7401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDIE STAINES",
"first_name": "KIMBERLY",
"credential": "OTR, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "TX",
"license": "109266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.