Virginia R Dieffenbach, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1700068 Issued in KS

Practice address

5350 W 61St Place
Mission Springs Alf
Mission, KS 66205

Phone

(913) 831-7700

Fax

(913) 831-7733

NPI assigned

Apr 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154541894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 W 93RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66212",
            "telephone_number": "913-341-9533",
            "fax_number": "913-262-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 W 61ST PLACE",
            "address_2": "MISSION SPRINGS ALF",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "66205",
            "telephone_number": "913-831-7700",
            "fax_number": "913-831-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEFFENBACH",
        "first_name": "VIRGINIA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "1700068",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2005001474",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37219016",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37219016",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Dees-Pedroza, LSCSW
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• Claire Devolder
• Amber D Dewald, ARNP
• Debora Dias Ferreira, LSCSW
• Monica L Dietrich, MPT
• Amber D Dixon, LMSW
• Doc Shop, PA
• Melissa P Donaghy, LCMFT
• Nancy Kay Dorau, PT

• Occupational Therapist in Mission, KS
• Providers in Mission, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.