Individual provider Active NPI

Vanessa Umberger, MOT

  • Occupational Therapist
  • Rapid City, SD
National Provider Identifier
1144766056
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1014 Issued in SD
Practice address
2908 5TH St
Rapid City, SD 57701-7317
Phone
(605) 755-4589
NPI assigned
Jan 16, 2017
Last updated
Jan 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1014 SD Primary

Addresses

Primary practice location

2908 5TH St
Rapid City, SD 57701-7317

Mailing address

2908 5TH St # 57701
Rapid City, SD 57701-7317
Phone (605) 755-4589

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

NPI Registry JSON

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1144766056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 5TH ST # 57701",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017317",
            "telephone_number": "605-755-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017317",
            "telephone_number": "605-755-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMBERGER",
        "first_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.