Active NPI
Deborah L Bua, MOT
- Occupational Therapist
- Raytown, MO
National Provider Identifier
1386779973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2006011923
- Practice address
- 10801 E State Route 350
Raytown, MO 64138-2367 - Phone
- (816) 737-5502
- Fax
- (816) 737-5504
- NPI assigned
- Feb 22, 2007
- Last updated
- Jun 11, 2014
- 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 | 2006011923 | MO | Primary |
| Occupational Therapist | 225X00000X | 17-01557 | KS |
Addresses
Primary practice location
10801 E State Route 350
Raytown, MO 64138-2367
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (816) 226-4011
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA4370075 | Other | MO | MEDICARE PTAN |
| KA2868053 | Other | KS | MEDICARE PTAN |
| 477599906 | Medicaid | MO | |
| 46002038 | Other | BCBS-KC |
Other names 1
- Deborah L Rowland
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-01557 | KS | MD | Occupational Therapist |
| 2006011923 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1386779973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "816-226-4011",
"fax_number": "816-524-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 E STATE ROUTE 350",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641382367",
"telephone_number": "816-737-5502",
"fax_number": "816-737-5504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUA",
"first_name": "DEBORAH",
"middle_name": "L",
"credential": "MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2006011923",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-01557",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "MA4370075",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "KA2868053",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "477599906",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-KC",
"identifier": "46002038",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "ROWLAND",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.