Active NPI
Deanne Marie Schmunk, OTRL
- Occupational Therapist
- Fairbanks, AK
National Provider Identifier
1265550081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 941
- Practice address
- 1327 Kalakaket Street
Fairbanks, AK 99709-4917 - Phone
- (907) 452-4517
- Fax
- (907) 452-4263
- NPI assigned
- Mar 27, 2007
- 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 | 941 | AK | Primary |
Addresses
Primary practice location
1327 Kalakaket Street
Fairbanks, AK 99709-4917
Mailing address
990 Ellesmere Drive
Fairbanks, AK 99709
Phone (907) 458-8158
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A019 | Other | TRICARE | |
| OT1096 | Medicaid | AK |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talkabout Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265550081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 ELLESMERE DRIVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "99709",
"telephone_number": "907-458-8158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 KALAKAKET STREET",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094917",
"telephone_number": "907-452-4517",
"fax_number": "907-452-4263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMUNK",
"first_name": "DEANNE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A019",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OT1096",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.