Individual provider Active NPI

Nancy Hoedl, MSOTR/L

  • Occupational Therapist
  • Springfield, MO
National Provider Identifier
1043501430
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2005018058 Issued in MO
Practice address
6563 S Riverbridge Rd
Springfield, MO 65810-3114
Phone
(417) 234-2969
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2005018058 MO Primary
Pediatric Occupational Therapist 225XP0200X 2005018058 MO

Addresses

Primary practice location

6563 S Riverbridge Rd
Springfield, MO 65810-3114

Mailing address

6563 S Riverbridge Rd
Springfield, MO 65810-3114
Phone (417) 234-2969

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

LicenseStateTypeSpecialty
2005018058MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1043501430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6563 S RIVERBRIDGE RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658103114",
            "telephone_number": "417-234-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6563 S RIVERBRIDGE RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658103114",
            "telephone_number": "417-234-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEDL",
        "first_name": "NANCY",
        "credential": "MSOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2005018058",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2005018058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.