Active NPI
Leslie Helena Adams
- Occupational Therapist
- Saint Louis, MO
National Provider Identifier
1356462444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2000164014
- Practice address
- Supplemental Health Care 11701 Borman Dr.
280
St. Louis, MO 63146 - Phone
- (314) 983-9555
- NPI assigned
- Apr 3, 2007
- Last updated
- Jul 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | IL | ||
| Occupational Therapist | 225X00000X | 2000164014 | MO | Primary |
Addresses
Primary practice location
Supplemental Health Care 11701 Borman Dr.
280
St. Louis, MO 63146
Mailing address
4220 Erna Dr Apt 2
Belleville, IL 62226-5537
Phone (314) 303-4989
Other names 1
- Ms. Leslie Helena Adams
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 |
|---|---|---|---|
| 056006045 | IL | MD | Occupational Therapist |
| 2000164014 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356462444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 ERNA DR APT 2",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265537",
"telephone_number": "314-303-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUPPLEMENTAL HEALTH CARE 11701 BORMAN DR.",
"address_2": "280",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63146",
"telephone_number": "314-983-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "LESLIE",
"middle_name": "HELENA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2000164014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "ADAMS",
"middle_name": "HELENA",
"prefix": "MS.",
"credential": "OCCUPATIONAL THERAPI",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Saint Louis, MO
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.