Stacey Nicole Drew, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2544 Issued in CA

Practice address

4 Ash Ave, Unit 10
Kentfield, CA 94904

Phone

(415) 531-5812

NPI assigned

Aug 22, 2019

Last updated

Aug 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1295382372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ASH AVE, UNIT 10",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "94904",
            "telephone_number": "415-531-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ASH AVE, UNIT 10",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "94904",
            "telephone_number": "415-531-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREW",
        "first_name": "STACEY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "2544",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "2544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Leslie Difuria, MFT
• Ilene L. Dillon, M.S.W.
• Boyka Dimitrova
• Deborah Doherty, M.D.
• Angela Claire Dotson, LMFT 112318
• Joan Driscoll, PH.D.
• Lael Conway Duncan, MD
• Roberta C Duncan, MFT
• John Weston Egbert, DPT
• Ariel Elkins, BA, BS, MSN, FNP

• Occupational Therapist in Kentfield, CA
• Providers in Kentfield, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.