Active NPI
Katherine Kern, COTA/L
- Occupational Therapy Assistant
- Charlotte, NC
National Provider Identifier
1922498732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 7988
- Practice address
- 11230 Ballantyne Trace CT
Charlotte, NC 28277-2791 - Phone
- (704) 544-7220
- NPI assigned
- Feb 1, 2015
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 7988 | NC | Primary |
Addresses
Primary practice location
11230 Ballantyne Trace CT
Charlotte, NC 28277-2791
Mailing address
809 Deercross LN
Waxhaw, NC 28173-6603
Phone (704) 618-9988
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7988 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422748800000",
"number": "1922498732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 DEERCROSS LN",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281736603",
"telephone_number": "704-618-9988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11230 BALLANTYNE TRACE CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772791",
"telephone_number": "704-544-7220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN",
"first_name": "KATHERINE",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-01",
"last_updated": "2015-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "7988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.