MISS KIMBERLY EVE DESOUTELS (NPI# 1790063931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790063931 |
| Entity Type | Individual |
| Full Name | MISS KIMBERLY EVE DESOUTELS |
| Credential | OTR/L |
| Practice Address |
100 N. Mario Capecchi Drive Salt Lake City UT 84113 |
| Mailing Address |
P.o. Box 31080 Salt Lake City UT 84130 |
| Practice Telephone | 8016624949 |
| Practice Fax Number | 8016624931 |
| Mailing Telephone | 8016624949 |
| Mailing Fax Number | 8016624931 |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 107520-4201 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
100 N. MARIO CAPECCHI DRIVE |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720036015 | Kimberly Jane Niday | Audiologist | 100 N. Mario Capecchi Drive, Salt Lake City, UT 84113-1100 | 2006-05-05 |
| 1215115357 | Elizabeth Anderson | Nurse Practitioner | 100 N. Mario Capecchi Drive, Suite 2600, Salt Lake City, UT 84106 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
| 1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
| 1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
| 1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
| 1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
| 1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
| 1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
| 1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
| Find all providers in zip 84113 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593755 | Kristen V. Dyches | Occupational Therapist | 697 N East Capitol St, Salt Lake City, UT 84103-2188 | 2020-03-19 |
| 1902445083 | Your Home Therapy LLC | Occupational Therapist | 4209 S Monarch Way, Salt Lake City, UT 84124-3125 | 2020-01-06 |
| 1194364067 | Sarah Caitlin Smith | Occupational Therapist | 360 S 400 W Apt 434, Salt Lake City, UT 84101-1975 | 2019-12-24 |
| 1356988505 | Sheila Willson | Occupational Therapist | 565 E 4500 S, Salt Lake City, UT 84107-2967 | 2019-12-06 |
| 1104470103 | Anna Katherine Lundgren | Occupational Therapist | 2016 S 2500 E, Salt Lake City, UT 84108-3246 | 2019-07-29 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1760901813 | Lily Veronica Durose | Occupational Therapist | 50 N Medical Dr Rm 4622c, Salt Lake City, UT 84132-0001 | 2017-09-10 |
| 1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
| 1780052654 | Brittany Jesewitz | Occupational Therapist | 413 N Center St, Salt Lake City, UT 84103-1718 | 2015-09-09 |
| 1578987574 | Amy Irvin | Occupational Therapist | 802 E 3rd Ave, Salt Lake City, UT 84103-3825 | 2014-02-11 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84113 |
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| 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.