KIMBERLY MARIE GONZALES (NPI# 1649680125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649680125 |
| Entity Type | Individual |
| Full Name | KIMBERLY MARIE GONZALES |
| Practice Address |
21400 72nd Ave W Edmonds WA 98026-7702 |
| Practice Telephone | 4256082532 |
| Practice Fax Number | 4257710116 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OC60468639 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588140032 | Kimberly Gonzales | Licensed Vocational Nurse | 2102 W Teege Ave, Harlingen, TX 78550-4667 | 2018-07-18 |
| 1326558859 | Kimberly Rae Gonzales | Speech-Language Pathologist | 40 Oak Dr, Syosset, NY 11791-4649 | 2017-10-11 |
| 1407916976 | Kimberly J Gonzales | Case Manager/Care Coordinator | 250 Dewey Ave, Spartanburg, SC 29303-3009 | 2006-12-12 |
| Street Address |
21400 72ND AVE W |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-7702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962575191 | Aldercrest Health - Edmonds LLC | Skilled Nursing Facility | 21400 72nd Ave W, Edmonds, WA 98026-7702 | 2006-11-16 |
| 1295249431 | Aldercrest Health-edmonds, LLC | Skilled Nursing Facility | 21400 72nd Ave W, Edmonds, WA 98026 | 2017-11-27 |
| 1417301235 | Lisa Dawn Nott | Occupational Therapy Assistant | 21400 72nd Ave W, Edmonds, WA 98026-7702 | 2016-04-18 |
| 1932507225 | Fmg 72nd Avenue West Washington LLC | Skilled Nursing Facility | 21400 72nd Ave W, Edmonds, WA 98026-7702 | 2014-12-18 |
| 1699178392 | Rosemary E Potts | Physical Therapist | 21400 72nd Ave W, Edmonds, WA 98026-7702 | 2014-10-08 |
| 1922439199 | Jean Marie Mount | Physical Therapist | 21400 72nd Ave W, Edmonds, WA 98026-7702 | 2013-12-12 |
| 1619305646 | Sandra Jean Kaufmann | Physical Therapist | 21400 72nd Ave W, Edmonds, WA 98026-7702 | 2013-10-30 |
| 1770745838 | Anupma Fleming | Speech-Language Pathologist | 21400 72nd Ave W, Edmonds, WA 98026-7702 | 2008-06-30 |
| 1588837827 | Claire Louise Ambrowiak | Speech-Language Pathologist | 21400 72nd Ave W, Edmonds, WA 98026-7702 | 2008-04-08 |
| 1750589255 | Laura C White | Physical Therapist | 21400 72nd Ave W, Edmonds, WA 98026-7702 | 2007-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003352808 | Deborah Brown | Occupational Therapy Assistant | 5707 146th Pl Sw, Edmonds, WA 98026-3735 | 2017-01-17 |
| 1568979375 | Cindy Anne Little | Occupational Therapy Assistant | 21008 76th Ave W, Edmonds, WA 98026-7104 | 2018-01-02 |
| 1417301235 | Lisa Dawn Nott | Occupational Therapy Assistant | 21400 72nd Ave W, Edmonds, WA 98026-7702 | 2016-04-18 |
| 1730432881 | Catherine Vernon | Occupational Therapy Assistant | 8500 200th St Sw, Edmonds, WA 98026-6627 | 2012-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942439 | Kathleen A Villyard | Occupational Therapy Assistant | 1102 Ross Ave Nw, Orting, WA 98360-7495 | 2020-08-12 |
| 1386252641 | Aynabeba Negatu Bekele | Occupational Therapy Assistant | 1203 170th Pl Sw, Lynnwood, WA 98037-3327 | 2020-07-22 |
| 1194345819 | Katie Chapman | Occupational Therapy Assistant | 14240 Se 18th St Apt D4, Bellevue, WA 98007-6025 | 2020-04-22 |
| 1700412558 | Trisha Kathleen Tremper Justice | Occupational Therapy Assistant | 400 Gilkey Rd, Burlington, WA 98233-2907 | 2020-03-12 |
| 1962040493 | Patricia Bradley-bunn | Occupational Therapy Assistant | 7311 Coal Creek Pkwy Se Apt K201, Newcastle, WA 98059-3068 | 2019-12-16 |
| 1568009009 | Samantha Kay Hobbs | Occupational Therapy Assistant | 3014 Smithers Ct S, Renton, WA 98055-5034 | 2019-12-03 |
| 1801438411 | Wendy Evelyn Lowe | Occupational Therapy Assistant | 106 Monroe Rd, Port Angeles, WA 98362-8695 | 2019-10-15 |
| 1851944342 | Kendra Danielle Hyde | Occupational Therapy Assistant | 800 Medcalf St, Montesano, WA 98563 | 2019-07-23 |
| 1285286864 | Michele E Cary | Occupational Therapy Assistant | 710 Feildstone Dr Sw, Olympia, WA 98502-9851 | 2019-07-12 |
| 1710544523 | Debra Bilbrey | Occupational Therapy Assistant | 19742 Ash Crest Loop Ne, Poulsbo, WA 98370-7390 | 2019-05-28 |
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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.