Active NPI
Jamie Le Snyder, COTAL
- Occupational Therapy Assistant
- Des Moines, IA
National Provider Identifier
1255599643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 00620
- Practice address
- 4911 SW 19TH St
Des Moines, IA 50315 - Phone
- (515) 285-2559
- Fax
- (515) 256-4155
- NPI assigned
- Jun 2, 2008
- 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 Therapy Assistant | 224Z00000X | 00620 | IA | Primary |
Addresses
Primary practice location
4911 SW 19TH St
Des Moines, IA 50315
Mailing address
4911 SW 19TH St
Des Moines, IA 50315
Phone (515) 285-2559
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 |
|---|---|---|---|
| 00620 | IA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1255599643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4911 SW 19TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50315",
"telephone_number": "515-285-2559",
"fax_number": "515-256-4155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4911 SW 19TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50315",
"telephone_number": "515-285-2559",
"fax_number": "515-256-4155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "JAMIE",
"middle_name": "LE",
"name_prefix": "Ms.",
"credential": "COTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IA",
"license": "00620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.