Lyndsay Brooke Wise

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2002004063 Issued in MO

Practice address

800 Hospital Dr
Columbia, MO 65201-5275

Phone

(573) 814-6000

NPI assigned

Dec 14, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lyndsay Brooke Powell 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": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1497299150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 CENTER BROOK CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652039196",
            "telephone_number": "573-424-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015275",
            "telephone_number": "573-814-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "LYNDSAY",
        "middle_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2002004063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDSAY",
            "last_name": "POWELL",
            "middle_name": "BROOKE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reng Winters, NP
• Akua Wiredu, MD
• Charles Kontor Wiredu, M.D.
• Linda Jean Wischover, RPH
• Jordan Leigh Wise, PA-C
• Patrick Martin Wise, MD
• Tiffany Jo Wiser, MHS, CCC-SLP
• Danielle Nicole Wissman, FNP
• Robert David Wissman, M.D.
• Laura Teresa Withers, M.D.

• Occupational Therapist in Columbia, MO
• Providers in Columbia, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.