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1881717361 NPI number — KIMBERLY ANN MCCAIN OTRL

NPI Number: 1881717361
Health Care Provider/Practitioner: KIMBERLY ANN MCCAIN OTRL

Information about “1881717361” NPI (KIMBERLY ANN MCCAIN OTRL) exists in 1881717361 in HTML format HTML  |  1881717361 in plain Text format TXT  |  1881717361 in PDF (Portable Document Format) PDF  |  1881717361 in an XML format XML  formats.

NPI Number : 1881717361 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881717361",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCCAIN",
    "FirstName": "KIMBERLY",
    "MiddleName": "ANN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "OTRL",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1200 CORPORATE DR STE 400",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOOVER",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35242-5424",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-238-7217",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2011 MURPHY AVE STE 605",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NASHVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37203-2220",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "615-284-7555",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/09/2007",
    "LastUpdateDate": "03/24/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "6893",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "31003550A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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