James Scott Wiley

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2014035221 Issued in MO

Legal business name

JAMES SCOTT WILEY

Practice address

210 Davis Dr
West Plains, MO 65775-2241

Phone

(417) 256-2152

NPI assigned

Oct 9, 2014

Last updated

Oct 9, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Scott Wiley, COTA

Title

Occupational Therapy Assistant

Phone

(512) 560-2769

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1245634914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 COUNTY ROAD 3730",
            "city": "PEACE VALLEY",
            "state": "MO",
            "postal_code": "657889780",
            "telephone_number": "512-560-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 DAVIS DR",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752241",
            "telephone_number": "417-256-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES SCOTT WILEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "512-560-2769",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "2014035221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sathish Kumar Itikyala, M.D.
• Brittany Jackson, LPN
• Christy Lynn Jackson, LPC
• Tara Naomi Jackson, DO
• Ashley Jacobson
• Sydney Jennings, COTA/L
• Edward Teddy Jeter
• Karen Johal
• Angela Johnson
• Brandon C Johnson I

• Skilled Nursing Facility in West Plains, MO
• Providers in West Plains, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.