Kathryn Neoma Dole, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

100667 Issued in MN

Practice address

2225 E Lake St
Minneapolis, MN 55407-1932

Phone

(612) 668-5414

Fax

(612) 668-5446

NPI assigned

Oct 27, 2006

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902982606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 MORRILL LN",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063656",
            "telephone_number": "612-724-2010",
            "fax_number": "612-722-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E LAKE ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071932",
            "telephone_number": "612-668-5414",
            "fax_number": "612-668-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLE",
        "first_name": "KATHRYN",
        "middle_name": "NEOMA",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "100667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine M Dolan, MD
• Danielle Elizabeth Dolan I, DNP
• Michelle Marie Dolan, M.D.
• Shannon Dolan
• Stacy Dolan
• Mary Elizabeth Dolejsi, LP
• Shannon Becker Dolezal, MA, ATC, CSCS
• Tammy L. Doll, LICSW
• Emma Reese Dolphin
• Devin Dolquist

• Pediatric Occupational Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• 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.