Fanny Jacinda Damus

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

421855 Issued in ND

Practice address

11623 Arbor St
Omaha, NE 68144-2981

Phone

(402) 334-1919

NPI assigned

Feb 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Fanny Jacinda Joseph Other name

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": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1346873684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 2ND ST E APT 205",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015402",
            "telephone_number": "813-368-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11623 ARBOR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442981",
            "telephone_number": "402-334-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMUS",
        "first_name": "FANNY",
        "middle_name": "JACINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ND",
            "license": "421855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FANNY",
            "last_name": "JOSEPH",
            "middle_name": "JACINDA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susie Jean Damm
• Robert Damms
• Danya D Damper
• Denise Damper
• Barbara Kaye Damratowski, RN
• Cherice Dan
• Terrice Dan
• Carmen Larae Dana, D.D.S., M.S.
• Jillianne M Danahay, APRN
• Michael Christopher Danahay, D.D.S.

• Occupational Therapy Assistant in Omaha, NE
• Providers in Omaha, NE by specialty
• Occupational Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.