Karen Yvette Kittredge, MS/OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

311683 Issued in LA

Practice address

1326 Church St
Zachary, LA 70791-2743

Phone

(225) 654-8208

Fax

(225) 654-4642

NPI assigned

Mar 14, 2019

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 1

Other names 1

• Karen Yvette Moreno Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1992264451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912743",
            "telephone_number": "225-654-8208",
            "fax_number": "225-654-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912743",
            "telephone_number": "225-654-8208",
            "fax_number": "225-654-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTREDGE",
        "first_name": "KAREN",
        "middle_name": "YVETTE",
        "credential": "MS/OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "311683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "311683",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "MORENO",
            "middle_name": "YVETTE",
            "credential": "MS/OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brody Kelly, PHYSICAL THERAPY
• Letosha Shepard Kelly
• Michael Cobb Kelly, DPT
• Salaam Khaled, DDS
• Mashonna King
• Elizabeth Jane Sherman Kleefisch, DDS, MSD
• Kleinpeter Physical Therapy, LLC
• Karl Lee Kleinpeter, P.T.
• Gay Koenig, RPH
• La Personal Care and Family Support Agency Lla

• Occupational Therapist in Zachary, LA
• Providers in Zachary, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.