Individual provider Active NPI

Diane Meyer

  • Occupational Therapist
  • Independence, IA
National Provider Identifier
1205476959
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
230 Swan Lake Blvd
Suite 103
Independence, IA 50644
Phone
(319) 334-5155
NPI assigned
Jan 10, 2020
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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 Primary

Addresses

Primary practice location

230 Swan Lake Blvd
Suite 103
Independence, IA 50644

Mailing address

2620 50TH St
Marion, IA 52302-6491
Phone (563) 920-5211

Other practice location 1

2620 50th St
Marion, IA 52302-6491
Phone (319) 366-8714

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

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1205476959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 50TH ST",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523026491",
            "telephone_number": "563-920-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SWAN LAKE BLVD",
            "address_2": "SUITE 103",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "50644",
            "telephone_number": "319-334-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 50th St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IA",
            "postal_code": "523026491",
            "country_code": "US",
            "telephone_number": "319-366-8714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.