Randi Lee Dirnberger, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2014004051 Issued in MO

Practice address

3120 Independence St
Cape Girardeau, MO 63703-5043

Phone

(573) 240-8846

NPI assigned

Jun 12, 2017

Last updated

Jun 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Randi Lee Ungerank Former 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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1427588516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 INDEPENDENCE ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035043",
            "telephone_number": "573-240-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRNBERGER",
        "first_name": "RANDI",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2014004051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDI",
            "last_name": "UNGERANK",
            "middle_name": "LEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melanie Dillard, CRNA
• Lauren Dillman, PHARM.D.
• Michael K Dillow, RDH
• Saranya Dinesan, MD
• Carol Louise Dippold, LCSW, LPC
• Will Distefano
• Rosieeather Dixon
• Charles Dobbs
• Leigha Alexis Dobbs, BSW
• Doctor Freeman (The Freeman Clinic)

• Occupational Therapy Assistant in Cape Girardeau, MO
• Providers in Cape Girardeau, 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 Jun 12, 2017; 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.