Brittany Easley

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2014017968 Issued in MO

Practice address

702 E Buffalo St
Bolivar, MO 65613-2621

Phone

(256) 283-3258

NPI assigned

Aug 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1255730776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E BUFFALO ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E BUFFALO ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132621",
            "telephone_number": "256-283-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASLEY",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2014017968",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2014017968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William S Donnell Jr., M.D.
• Kimberly Doolin, RN, BSN, PMHNP-BC
• Dr. Donald R. Jump DDS Inc PC
• Ellie Renee Duckworth, PA-C
• Craig David Dunseth, M.D.
• April E Edgar, FNP-BC
• Anjali M Edson, P.A.
• Carol Ehrhardt, SPEECH LANGUAGE PATH
• Lauren Elder, DC
• Ronda S Entlicher-Stewart, APRN,BC

• Occupational Therapist in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.