Maryangela Nafula Wafula, MHS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

003499 Issued in MO

Practice address

1801 Towne Dr
Columbia, MO 65202-2337

Phone

(573) 474-6111

NPI assigned

Dec 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Maryangela Nafula Kibuywa Former 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": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1356525687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 COLGATE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652031817",
            "telephone_number": "573-446-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 TOWNE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652022337",
            "telephone_number": "573-474-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAFULA",
        "first_name": "MARYANGELA",
        "middle_name": "NAFULA",
        "name_prefix": "Mrs.",
        "credential": "MHS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "003499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYANGELA",
            "last_name": "KIBUYWA",
            "middle_name": "NAFULA",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassandra Voth, MD
• Carmen Vroman, LCSW
• Nicholas Vroman, LMT
• Mirjana Vustar, MD
• W. Mike See MD PC
• Aaron Kirk Waggie, DO
• Diana Elizabeth Wagner
• Marti Gaye Waigandt, O.D.
• Lara Lynn Wakefield, PH.D., CCC-SLP
• Mark Richard Wakefield, MD

• Occupational Therapist in Columbia, MO
• Providers in Columbia, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.