MRS. AMANDA MCKIBBEN (NPI# 1891294484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891294484 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA MCKIBBEN |
| Credential | OTR/L |
| Practice Address |
2361 E 29th St Oakland CA 94606-3511 |
| Mailing Address |
4091 Lincoln Ave Oakland CA 94602-2429 |
| Practice Telephone | 5104880411 |
| Mailing Telephone | 8312393312 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 15157 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356836829 | Amanda L Mckibben | Specialist/Technologist | 1 Childrens Plz, Dayton, OH 45404-1873 | 2018-06-27 |
| Street Address |
2361 E 29TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94606-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609867746 | Salem Lutheran Home Association of The Bay Cities | Skilled Nursing Facility | 2361 E 29th St, Oakland, CA 94606-3511 | 2005-10-28 |
| 1538768353 | Pacifica Oakland LLC | Assisted Living Facility | 2361 E 29th St, Oakland, CA 94606-3511 | 2020-10-22 |
| 1922659655 | Megan Sadou | Occupational Therapist | 2361 E 29th St, Oakland, CA 94606-3511 | 2019-09-24 |
| 1407272487 | Aotn, LLC | Skilled Nursing Facility | 2361 E 29th St, Oakland, CA 94606-3511 | 2014-03-13 |
| 1194741603 | Linda Doreen Bulman | Physician Assistant | 2361 E 29th St, Salem Lutheran Care Center, Oakland, CA 94606-3511 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366923369 | Rhummanee Hang | Case Manager/Care Coordinator | 544 International Blvd., Suite #9, Oakland, CA 94606 | 2018-08-27 |
| 1841746153 | First Aid Transportation LLC | Non-emergency Medical Transport (VAN) | 1709 International Blvd Ste 107, Oakland, CA 94606 | 2016-08-27 |
| 1609236686 | Erik D Grasso | Behavioral Analyst | 1340 East 28th St., Suite C, Oakland, CA 94606 | 2016-03-03 |
| 1457770935 | Jessica Robin Gar Ling Leung | Family Medicine | 250 E. 18th Street, 2nd Floor, Oakland, CA 94606 | 2014-04-10 |
| 1902230709 | Masja Van Der Hoog | Acupuncturist | 1511 23rd Ave, Apt 10, Oakland, CA 94606 | 2013-08-28 |
| 1063756997 | Christine Michelle Huffner | Nurse Practitioner | 1030 International Blvd. San Antonio Neighborhood Healt, Oakland, CA 94606 | 2012-11-15 |
| 1336418920 | Alexandra Elisabeth Brewster | Counselor | 907 Lake Street San Pablo Avenue, San Pablo, CA 94606 | 2011-12-28 |
| 1780964064 | Meagen Elizabeth Grundberg | Community Health Worker | 544 International Blvd Ste 9, Oakland, CA 94606 | 2011-08-18 |
| 1285764217 | Nguyen Tran Dang, Dds, Inc. | Dentist | 270 East 12th St., Oakland, CA 94606 | 2007-03-07 |
| 1689704017 | Nguyen Tran Dang | Dentist | 270 East 12th Street, Oakland, CA 94606 | 2007-03-06 |
| Find all providers in zip 94606 | ||||
| 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 |
|---|---|---|---|---|
| 1346869732 | Grace E. Bishop | Occupational Therapist | 934 46th St, Oakland, CA 94608-3418 | 2020-04-15 |
| 1073147658 | Vanessa Gertmenian-wong | Occupational Therapist | 2918 Holyrood Dr, Oakland, CA 94611-2540 | 2020-02-23 |
| 1568094779 | Christina Sosa | Occupational Therapist | 3020 Florida St, Oakland, CA 94602-3327 | 2020-02-05 |
| 1811547052 | Kadiant, LLC | Occupational Therapist | 155 Grand Ave Ste 500, Oakland, CA 94612-3747 | 2019-09-19 |
| 1285291252 | Ciara Salmon | Occupational Therapist | 2800 Kitchener Ct, Oakland, CA 94602-3552 | 2019-05-23 |
| 1851853279 | Valeria Velazquez | Occupational Therapist | 6500 Whitney St, Oakland, CA 94609-1028 | 2019-04-03 |
| 1396289013 | Caitlin Call | Occupational Therapist | 1389 Jefferson St Unit B103, Oakland, CA 94612-1675 | 2016-12-14 |
| 1194274795 | Tanya Orgill | Occupational Therapist | 3137 Brookdale Ave, Oakland, CA 94602-3111 | 2016-09-25 |
| 1043768567 | Patricia Medina | Occupational Therapist | 664 Vernon St Apt 106, Oakland, CA 94610-1481 | 2016-09-13 |
| 1396290144 | Matthew Heffernan | Occupational Therapist | 3830 Clarke St Apt B, None, Oakland, CA 94609-2783 | 2016-08-22 |
| Find all providers in OAKLAND | ||||
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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.