Individual provider Active NPI

McKinsie Jean Fuoss, MS OTR/L

  • Occupational Therapist
  • Winner, SD
National Provider Identifier
1013379320
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0995 Issued in SD
Practice address
825 E. 8TH St.
Suite 204
Winner, SD 57580-2633
Phone
(605) 842-7188
Fax
(605) 842-7189
NPI assigned
Mar 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0995 SD Primary

Addresses

Primary practice location

825 E. 8TH St.
Suite 204
Winner, SD 57580-2633

Mailing address

PO Box 435
Winner, SD 57580-0435
Phone (605) 842-7188

Other names 1

  • McKinsie Jean Simons Other name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0995SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Devoted to Potential, Prof. LLC Occupational Therapist Current Accepting new patients

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": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1013379320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 435",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575800435",
            "telephone_number": "605-842-7188",
            "fax_number": "605-842-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E. 8TH ST.",
            "address_2": "SUITE 204",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575802633",
            "telephone_number": "605-842-7188",
            "fax_number": "605-842-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUOSS",
        "first_name": "MCKINSIE",
        "middle_name": "JEAN",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "0995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKINSIE",
            "last_name": "SIMONS",
            "middle_name": "JEAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winner, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.