Keri Lynn Dunivan, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2005004427 Issued in MO

Practice address

329 Falcon Hill Dr
O Fallon, MO 63368-3776

Phone

(636) 278-0191

NPI assigned

Nov 26, 2007

Last updated

Nov 26, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1073794525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 FALCON HILL DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683776",
            "telephone_number": "636-278-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 FALCON HILL DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683776",
            "telephone_number": "636-278-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNIVAN",
        "first_name": "KERI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2005004427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Michele Drummer, PTA
• Jennifer Ann Dubbert, PT
• Drew Dudek, DPT, ATC
• Sandra Dufrenne, RN
• Michelle Lynn Dunajcik, D.C.
• Loretta Marie Dunkmann, M.S.
• Carrie Anderson Dunning, LPC
• Molly Marie Dunsworth, MA CCC/SLP
• Joan Durbin, RPT
• DW Auto and Mobility (DW Auto & Mobility)

• Occupational Therapist in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.