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

Active since August 03, 2020
1291 CRAIG AVE, LAKEPORT, CA 95453(707) 263-6382 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Jean Evenson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY JEAN EVENSON (NPI 1487264651) is an individual occupational therapy assistant in Lakeport, California, licensed in California (4499) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1487264651
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameKELLY JEAN EVENSON
Location Address1291 CRAIG AVELakeport, CA 95453-5704
Mailing Address10641 Sunset Ridge DrKelseyville, CA 95451-9505 · (920) 636-3399
Sole ProprietorYes
Enumeration DateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
NPI 1487264651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in CA · 4499
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.
1291 CRAIG AVE, Lakeport, CA 95453

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1291 CRAIG AVE
LAKEPORT, CA 95453
Occupational Therapist
1291 CRAIG AVE
LAKEPORT, CA 95453
Physical Therapy Assistant
1291 CRAIG AVE
LAKEPORT, CA 95453
Occupational Therapy Assistant
1291 CRAIG AVE
LAKEPORT, CA 95453
Skilled Nursing Facility
1291 CRAIG AVE
LAKEPORT, CA 95453
Speech-Language Pathologist
1291 CRAIG AVE
LAKEPORT, CA 95453
Occupational Therapist
1291 CRAIG AVE
LAKEPORT, CA 95453
Nurse Practitioner (Adult Health)
1291 CRAIG AVE
LAKEPORT, CA 95453

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Evenson's NPI number?

The NPI number for Kelly Evenson is 1487264651. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Where is Kelly Evenson located?

Kelly Evenson practices at 1291 Craig Ave, Lakeport, CA 95453. The listed phone number is (707) 263-6382.

What is Kelly Evenson's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Kelly Evenson was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.