Individual provider Active NPI

Jessica Danon

  • Occupational Therapist
  • Kansas City, MO
National Provider Identifier
1164781464
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2019031573 Issued in MO
Practice address
4800 Grandview Rd
Kansas City, MO 64137-1937
Phone
(402) 203-5072
NPI assigned
May 8, 2012
Reactivated
Aug 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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 2019031573 MO Primary

Addresses

Primary practice location

4800 Grandview Rd
Kansas City, MO 64137-1937

Mailing address

8212 Mackey St
Overland Park, KS 66204-3550
Phone (402) 203-5072

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

LicenseStateTypeSpecialty
2019031573MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1164781464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 MACKEY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662043550",
            "telephone_number": "402-203-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 GRANDVIEW RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641371937",
            "telephone_number": "402-203-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANON",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2019-08-29",
        "deactivation_date": "2019-08-14",
        "reactivation_date": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2019031573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.