Active NPI
Danielle Hudson, OTD
- Occupational Therapist
- Paris, MO
National Provider Identifier
1215552104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2016016529
- Practice address
- 210 Rock Rd
Paris, MO 65275-1282 - Phone
- (573) 822-0629
- NPI assigned
- Jun 16, 2020
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225X00000X | 2016016529 | MO | Primary |
Addresses
Primary practice location
210 Rock Rd
Paris, MO 65275-1282
Mailing address
49510 Springview TRL
Hannibal, MO 63401-7333
Phone (573) 822-0629
Other names 1
- Danielle Boyer
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | deb5163@gmail.com |
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 |
|---|---|---|---|
| 2016016529 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1215552104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49510 SPRINGVIEW TRL",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634017333",
"telephone_number": "573-822-0629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 ROCK RD",
"city": "PARIS",
"state": "MO",
"postal_code": "652751282",
"telephone_number": "573-822-0629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "DANIELLE",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-16",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2016016529",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "deb5163@gmail.com",
"affiliation": "N",
"address_1": "210 Rock Rd",
"city": "Paris",
"state": "MO",
"country_code": "US",
"postal_code": "652751282",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "BOYER",
"credential": "OTD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Paris, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.