Kimberly Ann Bayston, MS/OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60864496 Issued in WA

Practice address

601 Crawford St
Kelso, WA 98626-4315

Phone

(360) 501-1904

Fax

(360) 501-1965

NPI assigned

Jul 18, 2018

Last updated

Jul 18, 2018By the provider in NPPES

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

Practice roles

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

• Kelso School District

  • Local Education Agency (LEA)
  • Kelso, WA
  • NPI 1417988502
  NPD (past)

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1942786207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BURCHELL AVE FL 1",
            "city": "HIGHWOOD",
            "state": "IL",
            "postal_code": "600401202",
            "telephone_number": "815-549-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CRAWFORD ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986264315",
            "telephone_number": "360-501-1904",
            "fax_number": "360-501-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYSTON",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "MS/OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60864496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Kelso, WA
• Providers in Kelso, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.