Active NPI
Amy F Shearer, OTR/L
- Specialist
- Glenburn, ME
National Provider Identifier
1003049149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT1329
- Practice address
- 27 Grace Snow Dr
Glenburn, ME 04401-1036 - Phone
- (207) 884-4075
- NPI assigned
- Aug 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OT1329 | ME | Primary |
Addresses
Primary practice location
27 Grace Snow Dr
Glenburn, ME 04401-1036
Mailing address
27 Grace Snow Dr
Glenburn, ME 04401-1036
Phone (207) 884-4075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT1329 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1329 | ME | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251072000000",
"number": "1003049149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 GRACE SNOW DR",
"city": "GLENBURN",
"state": "ME",
"postal_code": "044011036",
"telephone_number": "207-884-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 GRACE SNOW DR",
"city": "GLENBURN",
"state": "ME",
"postal_code": "044011036",
"telephone_number": "207-884-4075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARER",
"first_name": "AMY",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-24",
"last_updated": "2009-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "OT1329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OT1329",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glenburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.