Active NPI
Shawna Dehaan, MA, OTR/L
- Occupational Therapist
- Woodbury, MN
National Provider Identifier
1104155068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103722
- Practice address
- 8320 City Centre Dr
Woodbury, MN 55125-3382 - Phone
- (651) 738-9888
- NPI assigned
- Dec 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 103722 | MN | Primary |
Addresses
Primary practice location
8320 City Centre Dr
Woodbury, MN 55125-3382
Mailing address
1977 Sierra Dr
Hastings, MN 55033-4073
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 Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284336000000",
"number": "1104155068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1977 SIERRA DR",
"city": "HASTINGS",
"state": "MN",
"postal_code": "550334073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8320 CITY CENTRE DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551253382",
"telephone_number": "651-738-9888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHAAN",
"first_name": "SHAWNA",
"credential": "MA, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-23",
"last_updated": "2010-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "103722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.