Michelle Renee Gunn, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

733 Issued in NE

Practice address

3501 Dakota Ave
South Sioux City, NE 68776-3641

Phone

(402) 494-3440

Fax

(402) 494-3441

NPI assigned

Aug 16, 2011

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

Other names 1

• Mrs. Michelle Renee Smith 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": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1114206596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 S CEDAR ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064138",
            "telephone_number": "402-494-3440",
            "fax_number": "402-494-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 DAKOTA AVE",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763641",
            "telephone_number": "402-494-3440",
            "fax_number": "402-494-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NE",
            "license": "733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "SMITH",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marla Peterson Grier
• Regina Rene Grover, ARNP
• Diana Guerrero
• Bianca L Guevara
• Linda Guevara
• Dustin Lyle Guthmiller
• Jason Scott Guthmiller
• Melissa Ann Guthmiller
• Maria Gutierrez
• Priscilla Gutierrez

• Occupational Therapy Assistant in South Sioux City, NE
• Providers in South Sioux City, NE by specialty
• Occupational Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.