Active NPI
Tracey Jo Lems
- Occupational Therapy Assistant
- Mishawaka, IN
National Provider Identifier
1306178280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 32001438A
- Practice address
- 321 Runaway Bay Cir
Mishawaka, IN 46545-8022 - Phone
- (574) 520-3937
- NPI assigned
- Feb 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 32001438A | IN | Primary |
Addresses
Primary practice location
321 Runaway Bay Cir
Mishawaka, IN 46545-8022
Mailing address
321 Runaway Bay Circle
Apt. 3D
Mishawaka, IN 46545
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 |
|---|---|---|---|
| 32001438A | IN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1306178280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 RUNAWAY BAY CIRCLE",
"address_2": "APT. 3D",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "46545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 RUNAWAY BAY CIR",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465458022",
"telephone_number": "574-520-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMS",
"first_name": "TRACEY",
"middle_name": "JO",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IN",
"license": "32001438A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.