Amy Jo Mudd

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1999137819 Issued in MO

Practice address

400 N 6TH St
Saint Charles, MO 63301-1838

Phone

(636) 443-4000

NPI assigned

Oct 17, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. Charles R-VI School District

  • Local Education Agency (LEA)
  • Saint Charles, MO
  • NPI 1427496421
  NPD (past)

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1467234252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N 6TH ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 6TH ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011838",
            "telephone_number": "636-443-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDD",
        "first_name": "AMY",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "1999137819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Morris, D.D.S.
• Elizabeth Morrison
• Pamela Ann Mosher, MS-CCCA
• Nicole Mottet
• Mount Carmel Communities, LLC
• Barbara Muehlbauer, PLPC
• Nancy C. Muller, M.D.
• Robin Mundle, M.S., CCC-SLP
• Christina Leigh Murdick
• Andrew Muriithi

• Occupational Therapy Assistant in Saint Charles, MO
• Providers in Saint Charles, 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 Oct 17, 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.