Active NPI
Chastity Dawn Briscoe, C.O.T.A
- Occupational Therapy Assistant
- Hillsboro, KS
National Provider Identifier
1487951158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 18-00358
- Practice address
- 704 S Main St
Hillsboro, KS 67063-1530 - Phone
- (620) 897-7796
- NPI assigned
- Feb 16, 2011
- 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 Therapy Assistant | 224Z00000X | 18-00358 | KS | Primary |
Addresses
Primary practice location
704 S Main St
Hillsboro, KS 67063-1530
Mailing address
130 Illinois St
Little River, KS 67457-9161
Phone (620) 897-7796
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18-00358 | KS | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1487951158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 ILLINOIS ST",
"city": "LITTLE RIVER",
"state": "KS",
"postal_code": "674579161",
"telephone_number": "620-897-7796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 S MAIN ST",
"city": "HILLSBORO",
"state": "KS",
"postal_code": "670631530",
"telephone_number": "620-897-7796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISCOE",
"first_name": "CHASTITY",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "C.O.T.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-16",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KS",
"license": "18-00358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.