Active NPI
Colleen Schneider
- Occupational Therapist
- Odessa, MO
National Provider Identifier
1558766147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2014023273
- Practice address
- 309 Park LN Unit M
Odessa, MO 64076-1676 - Phone
- (816) 633-4205
- NPI assigned
- Oct 26, 2014
- Last updated
- Oct 26, 2014
- 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 Therapist | 225X00000X | 2014023273 | MO | Primary |
Addresses
Primary practice location
309 Park LN Unit M
Odessa, MO 64076-1676
Mailing address
6700 Antioch Rd Ste 120
Merriam, KS 66204-1200
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 |
|---|---|---|---|
| 2014023273 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414281600000",
"number": "1558766147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 ANTIOCH RD STE 120",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662041200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 PARK LN UNIT M",
"city": "ODESSA",
"state": "MO",
"postal_code": "640761676",
"telephone_number": "816-633-4205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "COLLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-26",
"last_updated": "2014-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2014023273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.