Lauren Kitzel, OTD OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

473905 Issued in OR

Practice address

1 Hayden Bridge Way
Springfield, OR 97477-1347

Phone

(541) 868-9430

NPI assigned

Nov 7, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1992412225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 AVENGALE DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974084800",
            "telephone_number": "503-508-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAYDEN BRIDGE WAY",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771347",
            "telephone_number": "541-868-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITZEL",
        "first_name": "LAUREN",
        "credential": "OTD OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "473905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON OCCUPATIONAL THERAPY LICENSE",
            "identifier": "473905",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laukit@mypeacehealth.org",
            "affiliation": "N",
            "address_1": "1 Hayden Bridge Way",
            "city": "Springfield",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974771347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heidi Mae Kinkade
• Cady Victoria Kintner, PHD
• J Joseph Kintz, M.D.
• Shawn Thomas Kirby
• Aleda Kirstein
• Vanessa Rae Kizzier-Carnahan, DO
• Martin M. Klos, MD
• Kevin Joesph Klott
• Gregory L Knecht, MD
• Katelyn Knoebel, LMT

• Occupational Therapist in Springfield, OR
• Providers in Springfield, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.