Kimberly Dawn Webb, COTAL

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

1001 S 34TH St
Mount Vernon, IL 62864-6232

Phone

(618) 242-5700

NPI assigned

Jun 25, 2007

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": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902002074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23736 KEARNEY RD",
            "city": "EWING",
            "state": "IL",
            "postal_code": "628361158",
            "telephone_number": "618-728-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S 34TH ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646232",
            "telephone_number": "618-242-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "COTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• R Jeanette Wangler, LPN
• Chelsea Nichole Webb
• Jesse Webb, OTR
• Karla Webb, APN
• Lisa Webb, LPN
• Sherry Gail Webb, LPN, MHP
• Joey Alan Wegmann, PA-C
• Ronald A Weiss, MD
• Erin Wenzel, LPN

• Occupational Therapy Assistant in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Occupational Therapy Assistant in Illinois

• 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.

Verify at the official NPI Registry.