Jacqueline Foote, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

003149 Issued in MO

Practice address

202 E Mill St
Humansville, MO 65674-8507

Phone

(417) 754-1601

NPI assigned

Jul 3, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1246579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246579200000",
    "number": "1003045642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W LEE ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301130",
            "telephone_number": "660-227-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E MILL ST",
            "city": "HUMANSVILLE",
            "state": "MO",
            "postal_code": "656748507",
            "telephone_number": "417-754-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOTE",
        "first_name": "JACQUELINE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-03",
        "last_updated": "2009-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "003149",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "1517",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audra Bowling
• Citizens Memorial Healthcare
• Tammy Compton, CPM
• Deaconess Long Term Care of Missouri, Inc.
• Bethany Lacavera Dhondt, DO
• Cheryl Jeannette Gerry, DC
• Kristi Jan Haynes
• Humansville SNF Operations, LLC
• Kelly Gene Jones, COTA/L
• Richard Thomas Leslie, LCSW

• All providers in Humansville, MO
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.