Individual provider Active NPI

Colleen Ormson, OTR/L

  • Assisted Living Facility
  • Chesterfield, MO
National Provider Identifier
1073766234
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2005009896 Issued in MO
Practice address
14332 Rainy Lake Dr
Chesterfield, MO 63017-2933
Phone
(314) 392-9991
NPI assigned
Oct 30, 2008
Last updated
Nov 11, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2005009896 MO Primary
Skilled Nursing Facility 314000000X 2005009896 MO

Addresses

Primary practice location

14332 Rainy Lake Dr
Chesterfield, MO 63017-2933

Mailing address

14332 Rainy Lake Dr
Chesterfield, MO 63017-2933
Phone (314) 392-9991

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
2005009896MOMDSkilled Nursing Facility

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1073766234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14332 RAINY LAKE DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172933",
            "telephone_number": "314-392-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14332 RAINY LAKE DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172933",
            "telephone_number": "314-392-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORMSON",
        "first_name": "COLLEEN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "2005009896",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "2005009896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.