Active NPI
Amy Elizabeth Lewis
- Occupational Therapy Assistant
- Cameron, MO
National Provider Identifier
1568709442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 1111 Euclid Ave
Cameron, MO 64429-2005 - Phone
- (816) 632-6010
- NPI assigned
- Jan 11, 2013
- 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 Therapy Assistant | 224Z00000X | MO | Primary |
Addresses
Primary practice location
1111 Euclid Ave
Cameron, MO 64429-2005
Mailing address
711 Valley Forge Rd
Brookfield, MO 64628-2608
Phone (660) 734-2927
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1568709442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 VALLEY FORGE RD",
"city": "BROOKFIELD",
"state": "MO",
"postal_code": "646282608",
"telephone_number": "660-734-2927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 EUCLID AVE",
"city": "CAMERON",
"state": "MO",
"postal_code": "644292005",
"telephone_number": "816-632-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-11",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cameron, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.