Annette Cruse

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2014002861 Issued in MO

Practice address

103 Corporate Lake Dr Ste B
Columbia, MO 65203-7290

Phone

(573) 413-2444

NPI assigned

Jan 17, 2024

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

• Annie Cruse Other 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": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1417718529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CORPORATE LAKE DR STE B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037290",
            "telephone_number": "573-415-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CORPORATE LAKE DR STE B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037290",
            "telephone_number": "573-413-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUSE",
        "first_name": "ANNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2014002861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "CRUSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tracy N Crowe
• Shannon N Crowley-Einspahr, LCSW
• Miles Edward Crowley, MD
• William James Crowley Jr., M.D.
• Kathryn M. Crum, L.M.T.
• Jordan Walter Cruz
• Samantha Cruz, PHD
• Csa Surgical Center LLC
• Matthew Csonka, M.D.
• Cuc-LLC (Columbia Urgent Care)

• Occupational Therapy Assistant in Columbia, MO
• Providers in Columbia, 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 Jan 17, 2024; 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.