Active NPI
Lisa Marie Yoder
- Occupational Therapy Assistant
- Baldwin City, KS
National Provider Identifier
1184008104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- T-04323
- Practice address
- 4816 Highway 59
Baldwin City, KS 66006-9241 - Phone
- (785) 418-6391
- NPI assigned
- Jul 20, 2015
- Last updated
- Jul 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | T-04323 | KS | Primary |
Addresses
Primary practice location
4816 Highway 59
Baldwin City, KS 66006-9241
Mailing address
4816 Highway 59
Baldwin City, KS 66006-9241
Phone (785) 418-6391
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 |
|---|---|---|---|
| T-04323 | KS | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1184008104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4816 HIGHWAY 59",
"city": "BALDWIN CITY",
"state": "KS",
"postal_code": "660069241",
"telephone_number": "785-418-6391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4816 HIGHWAY 59",
"city": "BALDWIN CITY",
"state": "KS",
"postal_code": "660069241",
"telephone_number": "785-418-6391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YODER",
"first_name": "LISA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KS",
"license": "T-04323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwin City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.