Andra L Mies, COTA

Primary specialty

Low Vision Occupational Therapy AssistantTaxonomy code 224ZL0004X

License

18-00764 Issued in KS

Practice address

610 N Main Street
Wichita, KS 67203-3601

Phone

(316) 440-1600

Fax

(316) 440-1675

NPI assigned

Jun 24, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Envision Vision Rehabilitation Center Inc

  • Rehabilitation Clinic/Center
  • Wichita, KS
  • NPI 1760908024
  NPD (past)

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1134415466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033618",
            "telephone_number": "316-440-1600",
            "fax_number": "316-440-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MAIN STREET",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033601",
            "telephone_number": "316-440-1600",
            "fax_number": "316-440-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIES",
        "first_name": "ANDRA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Low Vision",
            "state": "KS",
            "license": "18-00764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Psychiatric Services, LLC
• Midwest Respiratory Care Inc.
• Midwest Rockets HH, LLC
• Midwest Surgery Center, L.C.
• Midwestern Podiatry Services LLC
• Courtney Mies, CRNA
• Cheryl Lee Miescher, PA-C
• Reinaldo Ernesto Mijares, M.D.
• Chelsea Mikulecky, PHARMD
• Alex Milby

• Low Vision Occupational Therapy Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Low Vision Occupational Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.