Kyla Jean Guthmiller, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

984 Issued in ND

Practice address

401 N 9TH St
Bismarck, ND 58501-4530

Phone

(701) 712-4500

NPI assigned

Jun 15, 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

Other identifiers 2

Other names 1

• Kyla Jean Peck Former name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Innovis Health, LLC

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463

  ND

  Medicare reassignment Care Compare group NPD
• Innovis Health LLC

  • Family Medicine Physician
  • Fargo, ND
  • NPI 1255677084
  Care Compare group
• Innovis Health LLC

  • Family Medicine Physician
  • Fargo, ND
  • NPI 1578907655
  Care Compare group
• Innovis Health LLC

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1780043257
  Care Compare group
• Innovis Health, LLC

  • Ambulatory Surgical Clinic/Center
  • Wahpeton, ND
  • NPI 1548446669
  Care Compare group
• Innovis Health, LLC.

  • Family Medicine Physician
  • Wahpeton, ND
  • NPI 1790965440
  Care Compare group
• Innovis Health LLC

  • Family Medicine Physician
  • Moorhead, MN
  • NPI 1659617504
  Care Compare group
• Innovis Health LLC

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1144776576
  NPD
• Innovis Health, LLC.

  • Family Medicine Physician
  • Lisbon, ND
  • NPI 1043490790
  NPD

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1912102450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N 9TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014530",
            "telephone_number": "701-712-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHMILLER",
        "first_name": "KYLA",
        "middle_name": "JEAN",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "027842",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51509",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLA",
            "last_name": "PECK",
            "middle_name": "JEAN",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jean M. Gustafson, MD
• Lisa Gustafson, PH.D., PLLC
• Dwight Gustin
• Abigail Guthmiller
• Bryan Guthmiller
• Melissa Guthmiller
• Tanya Guthmiller, FNP
• Emily Guttormson
• Stephen Guy, PT
• Jennifer Gyeniaw

• All providers in Bismarck, ND
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.