Katherine Josephine Shaffer, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2000156874 Issued in MO

Practice address

16216 Baxter Rd
Suite 140
Chesterfield, MO 63017-4770

Phone

(314) 454-5420

Fax

(314) 454-5425

NPI assigned

Oct 16, 2012

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

Practice roles

Interoperability endpoints

• FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Louis Childrens Hospital

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1598398950
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1588917405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD",
            "address_2": "SUITE 140",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174770",
            "telephone_number": "314-454-5420",
            "fax_number": "314-454-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD",
            "address_2": "SUITE 140",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174770",
            "telephone_number": "314-454-5420",
            "fax_number": "314-454-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "KATHERINE",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2000156874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sensible Dental - Chesterfield (Sensible Dental)
• Serenity Hospice, LLC (Breeze Hospice of Missouri)
• Lori Seulean, LPC
• Martha Sewall, MD
• Anne Shackelford
• Bobby Shah, MD
• Janhvi Rakesh Kumar Shah, MD
• Jamila Shahnewaz, M.D.
• Rajat Shailly, MD
• Rachel Elizabeth Shakofsky, MD

• Pediatric Occupational Therapist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Pediatric Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.