Beverly Miller

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2016029041 Issued in MO

Practice address

975 Mitchell Rd
Sedalia, MO 65301-2133

Phone

(660) 851-0668

NPI assigned

Sep 14, 2009

Last updated

Oct 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beverly Wellborn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1073846721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 MITCHELL RD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012133",
            "telephone_number": "660-851-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 MITCHELL RD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012133",
            "telephone_number": "660-851-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BEVERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2016029041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTA LICENSE",
            "identifier": "2016029041",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "WELLBORN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Lynne Meyer
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• Christa E. Miller, LMSW, LCSW
• Jacqueline Miller, OTR/L
• Morgan Rashel Millsap, COTA
• Candice L Milner, M.S., CCC-SLP
• Jessica Miranda

• Occupational Therapy Assistant in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.