Jordan Elise Stulce

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2020037749 Issued in MO

Practice address

2025 Hanley Rd
Dardenne Prairie, MO 63368-6734

Phone

(636) 561-5755

NPI assigned

Oct 26, 2020

Last updated

Oct 24, 2023By 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 1

Addresses

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1174123624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 HINEMAN DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014520",
            "telephone_number": "314-489-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 HANLEY RD",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633686734",
            "telephone_number": "636-561-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULCE",
        "first_name": "JORDAN",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2020037749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapy Assistant in Dardenne Prairie, MO
• Providers in Dardenne Prairie, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.