Marilyn J Sunde

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004524 Issued in MO

Practice address

School Dist R-1 Eldon
112 S Pine St
Eldon, MO 65026-1581

Phone

(573) 392-8003

Fax

(573) 392-8080

NPI assigned

Apr 27, 2007

Last updated

Feb 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1003036369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S PINE ST",
            "city": "ELDON",
            "state": "MO",
            "postal_code": "650261581",
            "telephone_number": "573-392-8003",
            "fax_number": "573-392-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SCHOOL DIST R-1 ELDON",
            "address_2": "112 S PINE ST",
            "city": "ELDON",
            "state": "MO",
            "postal_code": "650261581",
            "telephone_number": "573-392-8003",
            "fax_number": "573-392-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDE",
        "first_name": "MARILYN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "004524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "474764610",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Paul Snyder, MA, LADCS, CPCI, LPC
• SSM Regional Health Services (St. Marys Eldon Medical Clinic)
• John M Stalker Jr., LPC
• Kristen Shavaughn Stampehl, NP-C
• Sunbrook Management (Lee House of Eldon, LLC)
• Laura M Thompson, NP-C
• Vernon Dental Clinic (King Dental Clinic)
• Caitlyn Vernon
• Josetta Eliese Wahwassuck, MSN, FNP, PMHNP
• Wal-Mart Stores East, LP (Walmart Pharmacy 10-0044)

• Occupational Therapist in Eldon, MO
• Providers in Eldon, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.