Caroline Sue Bates, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

502 W Pine St
Farmington, MO 63640-1426

Phone

(573) 218-9991

NPI assigned

Sep 6, 2018

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

• Ms. Caroline Sue Bates Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2018.

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1194207019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401426",
            "telephone_number": "573-218-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401426",
            "telephone_number": "573-218-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "CAROLINE",
        "middle_name": "SUE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "BATES",
            "middle_name": "SUE",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• All providers in Farmington, MO
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.