Active NPI
Karen Patricia Boutiette, OTR
- Occupational Therapist
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3049-026
- Practice address
- 733 W Clairemont Ave
Eau Claire, WI 54701-6101 - Phone
- (715) 838-5222
- NPI assigned
- May 4, 2007
- Last updated
- Dec 3, 2024
- 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 Therapist | 225X00000X | 3049-026 | WI | Primary |
Addresses
Primary practice location
733 W Clairemont Ave
Eau Claire, WI 54701-6101
Mailing address
PO Box 860912
Minneapolis, MN 55486-0912
Phone (715) 838-5222
Other practice location 1
1405 Truax Blvd
Eau Claire, WI 54703-1474
Phone (715) 552-1030
Other practice location 2
1405 Truax Blvd
Eau Claire, WI 54703-1474
Phone (715) 552-1030
Other practice location 3
1221 Whipple St
Eau Claire, WI 54703
Phone (715) 838-5222
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kboutiette21793@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3049-026 | WI | MD | Occupational Therapist |
Interoperability endpoints
- kboutiette21793@ehrdirect.mayoclinicmsg.org
Organizations & group practices 1
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.
-
dba Mayo Clinic Health System in Eau Claire
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1962614859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860912",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860912",
"telephone_number": "715-838-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 W CLAIREMONT AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016101",
"telephone_number": "715-838-5222"
}
],
"practiceLocations": [
{
"address_1": "1405 Truax Blvd",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547031474",
"country_code": "US",
"telephone_number": "715-552-1030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1405 Truax Blvd",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547031474",
"country_code": "US",
"telephone_number": "715-552-1030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1221 Whipple St",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "54703",
"country_code": "US",
"telephone_number": "715-838-5222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOUTIETTE",
"first_name": "KAREN",
"middle_name": "PATRICIA",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3049-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kboutiette21793@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "733 W Clairemont Ave",
"city": "Eau Claire",
"state": "WI",
"country_code": "US",
"postal_code": "547016101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.