Active NPI
Jean T Hamilton
- Occupational Therapist
- Nixa, MO
National Provider Identifier
1477617967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 005312
- Practice address
- 205 North St, Annex B
Nixa, MO 65714 - Phone
- (417) 724-4040
- Fax
- (417) 724-4039
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 005312 | MO | Primary |
Addresses
Primary practice location
205 North St, Annex B
Nixa, MO 65714
Mailing address
205 North St, Annex B
Nixa, MO 65714
Phone (417) 724-4040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 1St Capitol Dr
Apt 1
Saint Charles, MO 63301-1660
Phone (636) 242-1764
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005312 | MO | MD | Chiropractor |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Saint Charles, MO
- NPI 1417479494
-
- Multi-Specialty Clinic/Center
- Kansas City, MO
- NPI 1083208391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477617967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 NORTH ST, ANNEX B",
"city": "NIXA",
"state": "MO",
"postal_code": "65714",
"telephone_number": "417-724-4040",
"fax_number": "417-724-4039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 NORTH ST, ANNEX B",
"city": "NIXA",
"state": "MO",
"postal_code": "65714",
"telephone_number": "417-724-4040",
"fax_number": "417-724-4039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "JEAN",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "005312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nixa, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.