Individual provider Active NPI

Carol Tauriainen-Ernst

  • Occupational Therapist
  • Kenai, AK
National Provider Identifier
1902922354
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1187 Issued in AK
Practice address
150 N Willow St
Suite 15
Kenai, AK 99611-7701
Phone
(907) 262-5730
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1187 AK Primary

Addresses

Primary practice location

150 N Willow St
Suite 15
Kenai, AK 99611-7701

Mailing address

PO Box 7092
Nikiski, AK 99635-7092
Phone (907) 776-8645

Other identifiers 1

IdentifierTypeStateIssuer
OT1971MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221224000069 AK Practitioner - Occupational Therapist in Private Practice 3476923038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Aquatic Therapy, Inc.Group PAC ID 6800864604, 13 clinicians

Practice addresses (Care Compare)

35932 Kenai Spur Hwy
Soldotna, AK 99669-7103
Phone (907) 398-0411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1187AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Aquatic Therapy Inc. CurrentSince Sep 1, 2022 Accepting new patients
Occupational Rehabilitative Services Inc Occupational Therapist Past Accepting new patients
Kenai Kids Therapy Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902922354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7092",
            "city": "NIKISKI",
            "state": "AK",
            "postal_code": "996357092",
            "telephone_number": "907-776-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N WILLOW ST",
            "address_2": "SUITE 15",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117701",
            "telephone_number": "907-262-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAURIAINEN-ERNST",
        "first_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "1187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT1971",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.