Kimberly J Rieck

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

14-0451 Issued in NV

Practice address

9898 Scottish Glen CT
Las Vegas, NV 89178

Phone

(702) 241-5568

Fax

(877) 214-5160

NPI assigned

Jul 1, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kimberly J Kwiat Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527379200000",
    "number": "1942511274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 SCOTTISH GLEN CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891783854",
            "telephone_number": "702-241-5568",
            "fax_number": "877-214-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9898 SCOTTISH GLEN CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89178",
            "telephone_number": "702-241-5568",
            "fax_number": "877-214-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIECK",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2018-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.005630",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "14-0451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KWIAT",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Marie Rideout
• Stephen Ridgell
• Kimberly S Ridgeway, APN
• Daniel Ridgley
• Darrnika Ridley
• Sarah Nicole Riecken, M.S.,CCC-SLP
• Holly Anne Riedel
• Margaret Ann Riedl, RD LD CDE
• Rachael Ann Riegert, BACHELORS
• Alicia Riego

• Occupational Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2018; 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.