Individual provider Active NPI

Lauren A Krumm, OTR/L

  • Occupational Therapist
  • Arnold, MO
National Provider Identifier
1417457771
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2018004320 Issued in MO
Practice address
3165 5 Oaks Dr
Arnold, MO 63010-3895
Phone
(314) 954-2393
Fax
(314) 954-2393
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2018004320 MO Primary

Addresses

Primary practice location

3165 5 Oaks Dr
Arnold, MO 63010-3895

Mailing address

3165 5 Oaks Dr
Arnold, MO 63010-3895
Phone (314) 954-2393

Other names 1

  • Lauren A Moore Former name

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

LicenseStateTypeSpecialty
2018004320MOMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1417457771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 5 OAKS DR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630103895",
            "telephone_number": "314-954-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 5 OAKS DR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630103895",
            "telephone_number": "314-954-2393",
            "fax_number": "314-954-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMM",
        "first_name": "LAUREN",
        "middle_name": "A",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2018004320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MOORE",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arnold, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.