Active NPI
Kerri L Mills, MS OTR L
- Occupational Therapist
- Sullivan, MO
National Provider Identifier
1366568990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 003145
- Practice address
- Sullivan Consolidated District No 2
1132 Elmont Rd
Sullivan, MO 63080-1039 - Phone
- (573) 468-5174
- Fax
- (573) 468-5196
- NPI assigned
- Mar 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 003145 | MO | Primary |
Addresses
Primary practice location
Sullivan Consolidated District No 2
1132 Elmont Rd
Sullivan, MO 63080-1039
Mailing address
1132 Elmont Rd
Sullivan, MO 63080-1039
Phone (573) 468-5174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 473972610 | Medicaid | MO |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003145 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1366568990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 ELMONT RD",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630801039",
"telephone_number": "573-468-5174",
"fax_number": "573-468-5196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SULLIVAN CONSOLIDATED DISTRICT NO 2",
"address_2": "1132 ELMONT RD",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630801039",
"telephone_number": "573-468-5174",
"fax_number": "573-468-5196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "KERRI",
"middle_name": "L",
"credential": "MS OTR L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "003145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "473972610",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sullivan, MO
- Victoria Mesger, LPC
- Jaroslaw Michalik
- Mid-Missouri Transportation LLC
- Midwest Acute Care Consultants PC
- Midwest Dental Jeff Moos DDS PC
- Missouri Baptist Hospital of Sullivan
- Missouri Baptist Hospital of Sullivan
- Missouri Baptist Hospital of Sullivan
- Missouri Baptist Hospital of Sullivan
- Missouri Baptist Hospital of Sullivan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.