Active NPI
Alissa Haase
- Occupational Therapist
- Geneseo, IL
National Provider Identifier
1134483761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.006680
- Practice address
- 600 N College Ave
Geneseo, IL 61254-1091 - Phone
- (309) 944-6431
- NPI assigned
- Jun 28, 2012
- Last updated
- Jun 28, 2012
- 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 | 056.006680 | IL | Primary |
Addresses
Primary practice location
600 N College Ave
Geneseo, IL 61254-1091
Mailing address
600 N College Ave
Geneseo, IL 61254-1091
Phone (309) 944-6431
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.006680 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1134483761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N COLLEGE AVE",
"city": "GENESEO",
"state": "IL",
"postal_code": "612541091",
"telephone_number": "309-944-6431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N COLLEGE AVE",
"city": "GENESEO",
"state": "IL",
"postal_code": "612541091",
"telephone_number": "309-944-6431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAASE",
"first_name": "ALISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.006680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Geneseo, IL
- Geneseo Vision Center LLC
- Michelle Renae Goreth, PTA
- Kati Grimes, FNP-C
- Lokanatham Gumidyala
- John David Gustafson, RPH
- Johanna Hager, LCPC
- Hammmond Henry Retail Pharmacy
- Hammond Henry Dist Hospital (Hammond Henry Hospital Medical Group)
- Hammond Henry Dist Hospital
- Hammond Henry Dist Hospital (Hammond Henry Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.