Kim Fisher

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

005264 Issued in MO

Practice address

3700 State Road V
De Soto, MO 63020-5116

Phone

(314) 550-2149

NPI assigned

Nov 14, 2023

Last updated

Nov 14, 2023By the provider in NPPES

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

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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1396519807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 S UNION PARK CTR STE 400",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840474192",
            "telephone_number": "314-439-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 STATE ROAD V",
            "city": "DE SOTO",
            "state": "MO",
            "postal_code": "630205116",
            "telephone_number": "314-550-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "005264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Elder
• Eldercare of Mid-Missouri IV, Inc. (StoneBridge De Soto)
• James H. Ellegood, M.D.
• Families 1St of Desoto, LLC.
• Families 1St of Desoto, LLC.
• Tom J Flanagan Jr., LCSW
• Mandy Jo Foster, LMT
• Terence A. Friskel, D.D.S.
• From the Inside Out Counseling
• Gas Ince (Colonial House)

• Occupational Therapy Assistant in De Soto, MO
• Providers in De Soto, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.