Anne Benner

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2011003811 Issued in MO

Practice address

6543 Chippewa St
Saint Louis, MO 63109-4114

Phone

(314) 781-4781

NPI assigned

Sep 20, 2021

Last updated

Sep 20, 2021By the provider in NPPES

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

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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1558031641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 LEGACY CIR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262375",
            "telephone_number": "314-308-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6543 CHIPPEWA ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631094114",
            "telephone_number": "314-781-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNER",
        "first_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2011003811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Christine Benhardt, MD
• Sophia Alesandra Benigno, ACNP
• Kourtney Dawn Benion, MD
• Katherine Natalie Benjamin, COTA/L
• Jo Ann Benn, NP-C
• Courtney Anne Bennett-Solsvig, MS CCC-SLP
• Debbie Lee Bennett, MD
• Delores Ardith Elena Bennett, LPN
• Edward Strachan Bennett, OD
• Elizabeth J Bennett, LPC

• Occupational Therapy Assistant in Saint Louis, MO
• Providers in Saint Louis, 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 Sep 20, 2021; 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.