KELLY JEAN EVENSON
NPI 1487264651
Occupational Therapy Assistant in Lakeport, CA

NPI Status: Active since August 03, 2020

Contact Information

1291 CRAIG AVE
LAKEPORT, CA
ZIP 95453
Phone: (707) 263-6382

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  • Individual
  • Female
  • Occupational Therapy Assistant

About KELLY EVENSON

This page provides the complete NPI Profile along with additional information for Kelly Evenson, a provider established in Lakeport, California with a medical specialization in Occupational Therapy Assistant. The healthcare provider is registered in the NPI registry with number 1487264651 assigned on August 2020. The practitioner's primary taxonomy code is 224Z00000X with license number 4499 (CA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1487264651
Provider Name
KELLY JEAN EVENSON
Gender
Female
Entity Type
Individual
Location Address
1291 CRAIG AVE LAKEPORT, CA 95453
Location Phone
(707) 263-6382
Mailing Address
10641 SUNSET RIDGE DR KELSEYVILLE, CA 95451
Mailing Phone
(920) 636-3399
Is Sole Proprietor?
Yes
Enumeration Date
08-03-2020
Last Update Date
08-03-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Occupational Therapy Assistant

Taxonomy Code
224Z00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
4499
License State
CA
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487264651
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24167468610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 4 + 6 + 8 + 6 + 1 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1487264651 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487743753MRS. UNKNOWN SHONDUEL OTR/L
Individual
Occupational Therapist1291 CRAIG AVE
LAKEPORT, CA 95453
(707) 263-6382
1104080654MRS. JENNIFER MARIE STABINER
Individual
Speech-Language Pathologist1291 CRAIG AVE
LAKEPORT, CA 95453
(707) 263-6382
1720384092 COREY ADAMS M.S., CCC-SLP
Individual
Speech-Language Pathologist1291 CRAIG AVE
LAKEPORT, CA 95453
(918) 494-1471
1518218312 DAVID ERIC RAUCH P.T.A.
Individual
Physical Therapy Assistant1291 CRAIG AVE
LAKEPORT, CA 95453
(707) 263-6382
1740679752 JOLINDA FERRELL APNP
Individual
Nurse Practitioner (Adult Health)1291 CRAIG AVE
LAKEPORT, CA 95453
(707) 263-6382
1699723460EVERGREEN AT LAKEPORT, L.L.C.
Organization
Skilled Nursing Facility1291 CRAIG AVE
LAKEPORT, CA 95453
(707) 263-6382
1598279259 EVAN JOHN BETTEY COTA/L
Individual
Occupational Therapy Assistant1291 CRAIG AVE
LAKEPORT, CA 95453
(636) 544-8557
1790192649 JANELLE RENEE LEYONE OT
Individual
Occupational Therapist1291 CRAIG AVE
LAKEPORT, CA 95453
(707) 263-6382
1730792896MR. NICHOLAS SCOTT WAHLSTRAND OTR
Individual
Occupational Therapist1291 CRAIG AVE
LAKEPORT, CA 95453
(707) 263-6382
1932604048LAKEPORT POST ACUTE, LLC
Organization
Skilled Nursing Facility1291 CRAIG AVE
LAKEPORT, CA 95453
(707) 263-6382

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487264651, enumerated in the NPI registry as an "individual" on August 03, 2020

The provider is located at 1291 Craig Ave Lakeport, Ca 95453 and the phone number is (707) 263-6382

The provider's speciality is Occupational Therapy Assistant with taxonomy code 224Z00000X

This NPI record was last updated on August 03, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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