BEULAH KELLYWOOD


Address: 1300 Camino Sierra Vis, Santa Fe, NM 87505-1007
Phone: 5054672504

BEULAH KELLYWOOD (NPI# 1093136905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093136905
Entity Type Individual
Full Name BEULAH KELLYWOOD
Credential COTA/L
Practice Address 1300 Camino Sierra Vis
Santa Fe
NM 87505-1007
Mailing Address Po Box 93894
Albuquerque
NM 87199-3894
Practice Telephone 5054672504
Practice Fax Number 5054672504
Mailing Telephone 5054672504
Mailing Fax Number 5054672504
Enumeration Date 2013-12-18
Last Update Date 2013-12-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant 2200 NM Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1300 CAMINO SIERRA VIS
City SANTA FE
State NM
Zip Code 87505-1007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902933500 Santa Fe Public Schools Social Worker 1300 Camino Sierra Vis, 129, Santa Fe, NM 87505-1007 2007-02-28
1104315506 Patricia Ann Haycox Registered Nurse 1300 Camino Sierra Vis, Santa Fe, NM 87505-1007 2018-05-02
1548795842 Nina Augustine Registered Nurse 1300 Camino Sierra Vis, Santa Fe, NM 87505-1007 2017-04-24
1982082640 Nancy Baca Social Worker 1300 Camino Sierra Vis, Santa Fe, NM 87505-1007 2015-05-14
1376943092 Beverly Harms Speech-Language Pathologist 1300 Camino Sierra Vis, Santa Fe, NM 87505-1007 2014-08-29
1124450093 Alicia F Apodaca Social Worker 1300 Camino Sierra Vis, Santa Fe, NM 87505-1007 2013-08-02
1982910394 Richard E Gonzales Speech-Language Pathologist 1300 Camino Sierra Vis, Santa Fe, NM 87505-1007 2010-08-23
1609181429 Michaela Granito-tibbetts Social Worker 1300 Camino Sierra Vis, Santa Fe, NM 87505-1007 2010-08-17
1073849212 Benigna Aimee Louise Sanchez-duty Speech-Language Pathologist 1300 Camino Sierra Vis, Santa Fe, NM 87505-1007 2009-10-22
1215150107 Stephanie Kelly Social Worker 1300 Camino Sierra Vis, 129, Santa Fe, NM 87505-1007 2007-04-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154939031 Enchanted Sky Hospice,llc Hospice Care, Community Based 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 2020-07-16
1700409968 Caa Consulting, LLC Clinic/Center 1448 S St. Francis Drive, Santa Fe, NM 87505 2020-05-22
1104447093 Dana Marie Tsyconyea Simmons Counselor 1640 Calle Medico, Suite E, Santa Fe, NM 87505 2020-05-01
1114574217 Kumara Hampton Therapy, LLC Counselor 11 Calle Medico Suite 4, Santa Fe, NM 87505 2019-08-22
1245886977 Caroline Ward Technician 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 2019-08-19
1205490752 Alyson Yacono Physical Therapist 104 Old Las Vegas Highway, Santa Fe, NM 87505 2019-04-30
1366919649 Allyson Matthews Speech-Language Pathologist Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 2018-10-25
1093280281 Diamond Care Santa Fe LLC Skilled Nursing Facility 635 Harkle Road, Santa Fe, NM 87505 2018-10-04
1972087054 Changing Woman Initiative Advanced Practice Midwife 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 2018-09-24
1154812782 Heart Wing, LLC Social Worker 2724 Alamosa Drive, Santa Fe, NM 87505 2018-05-18
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Taxonomy Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619146818 Theresa R Trujillo Occupational Therapy Assistant 7618 Cree Cir, Santa Fe, NM 87507-3101 2008-02-21
1942426473 Sharon Faye Magee I Occupational Therapy Assistant 2107 Calle Tecolote, Santa Fe, NM 87505-5731 2007-04-17
1922300458 Pamela Louise Simon Occupational Therapy Assistant 1574 State Road 502, Santa Fe, NM 87506-2697 2010-12-04
1376702209 Gary M Richards Occupational Therapy Assistant 2009 Botulph Rd, Suite 200, Santa Fe, NM 87505-1107 2008-06-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871143859 Arow Parsons-pineda Occupational Therapy Assistant 4042 Highway 90 S, Silver City, NM 88061-9172 2019-09-12
1487214284 Holly Adams Occupational Therapy Assistant 508 Los Pinos St, Silver City, NM 88061-5934 2019-06-14
1942764162 Christine Beevers Occupational Therapy Assistant 310 Bonita Vista Blvd, Los Lunas, NM 87031 2019-01-23
1962970061 Donald Borrego Occupational Therapy Assistant 5200 Copper Ne, #7, Albuquerque, NM 87108 2018-11-06
1669953105 Patricia A Ziehl Occupational Therapy Assistant 119 Luna Ave., Los Lunas, NM 87031 2018-08-23
1902384373 Brittany Jones Occupational Therapy Assistant Us 64, Old High School Rd., Shiprock, NM 87420 2018-07-30
1861987810 Cami Talean Upton Hernandez Occupational Therapy Assistant 2905 E. Missouri Ave., Las Cruces, NM 88011 2018-06-22
1336633585 Julian Cisneros Occupational Therapy Assistant 5801 Eubank Blvd Ne Apt 9, Albuquerque, NM 87111-6180 2018-06-20
1972096881 Melinda Poteet Green Occupational Therapy Assistant Po Box 503, High Rolls Mountain Park, NM 88325-0503 2018-06-14
1407386014 Wilma Beverly White Occupational Therapy Assistant 200 Adams, Grants, NM 87020 2017-06-15
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Competitor

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City SANTA FE
Zip Code 87505

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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