Active NPI
Jonalyn Marie Siemer, OTR/L
- Occupational Therapist
- Columbia, MO
National Provider Identifier
1013252196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2000157358
- Practice address
- 103 Anderson Ave
Columbia, MO 65203-2672 - Phone
- (573) 443-8494
- NPI assigned
- Nov 30, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2000157358 | MO | Primary |
Addresses
Primary practice location
103 Anderson Ave
Columbia, MO 65203-2672
Mailing address
103 Anderson Ave
Columbia, MO 65203-2672
Phone (573) 443-8494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
103 Anderson Ave
Columbia, MO 65203-2672
127 W Broad St
Lake Charles, LA 70601-4394
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000157358 | MO | MD | Occupational Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354233600000",
"number": "1013252196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 ANDERSON AVE",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652032672",
"telephone_number": "573-443-8494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 ANDERSON AVE",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652032672",
"telephone_number": "573-443-8494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEMER",
"first_name": "JONALYN",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-30",
"last_updated": "2012-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2000157358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.