Angela Janene McQuinn, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

004858 Issued in MO

Practice address

1105 State St
Mound City, MO 64470-7202

Phone

(660) 442-3128

Fax

(660) 442-3717

NPI assigned

May 3, 2012

Last updated

May 3, 2012By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tiffany Care Centers, Inc

  dba Tiffany In Home Services

  • Personal Care Attendant
  • Mound City, MO
  • NPI 1144394313
  NPD (past)
• Tiffany Care Centers, Inc.

  dba Tiffany Heights

  • Skilled Nursing Facility
  • Mound City, MO
  • NPI 1558394668
  NPD (past)

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1497013924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "address_2": "1105 STATE STREET",
            "city": "MOUND CITY",
            "state": "MO",
            "postal_code": "644700308",
            "telephone_number": "660-442-3128",
            "fax_number": "660-442-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 STATE ST",
            "city": "MOUND CITY",
            "state": "MO",
            "postal_code": "644707202",
            "telephone_number": "660-442-3128",
            "fax_number": "660-442-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUINN",
        "first_name": "ANGELA",
        "middle_name": "JANENE",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "004858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Johnson
• Luna Services
• Paula Luna
• M Rogers Inc & Subsidiary (Rogers Pharmacy)
• M. Rogers, Inc. & Subsidiary (Rogers Pharmacy)
• Mound City Chiropractic LLC
• Mound City R-2 School District
• Mound City SNF Operations, LLC (Tiffany Heights)
• Danielle Marie Nielson, LMSW
• Northwest Health Services, Inc (Mound City Medical Clinc)

• Occupational Therapy Assistant in Mound City, MO
• Providers in Mound City, 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 May 3, 2012; 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.