Active NPI
Deanna Lynn McDonald, LIMA,COTA
- Other Technician
- Saint Louis, MO
National Provider Identifier
1548783574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 53499
- Practice address
- 3863 Cleveland Ave
Saint Louis, MO 63110-4009 - Phone
- (314) 664-3927
- NPI assigned
- Jul 21, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2017024676 | MO | |
| Other Technician | 247200000X | 53499 | MO | Primary |
Addresses
Primary practice location
3863 Cleveland Ave
Saint Louis, MO 63110-4009
Mailing address
9950 Solar LN
Saint Louis, MO 63123-6111
Phone (314) 657-8879
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 |
|---|---|---|---|
| 2017024676 | MO | MD | Occupational Therapy Assistant |
| 53499 | MO | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500595200000",
"number": "1548783574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9950 SOLAR LN",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631236111",
"telephone_number": "314-657-8879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3863 CLEVELAND AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631104009",
"telephone_number": "314-664-3927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "DEANNA",
"middle_name": "LYNN",
"credential": "LIMA,COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-21",
"last_updated": "2017-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": "2017024676",
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MO",
"license": "53499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.