Active NPI
Melisa Imelda Hendren, COTA/L
- Occupational Therapy Assistant
- Lees Summit, MO
National Provider Identifier
1649548827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2002004976
- Practice address
- 204 NE Chipman Rd
Lees Summit, MO 64063-2404 - Phone
- (816) 607-5333
- NPI assigned
- Dec 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 2002004976 | MO | Primary |
Addresses
Primary practice location
204 NE Chipman Rd
Lees Summit, MO 64063-2404
Mailing address
204 NE Chipman Rd
Lees Summit, MO 64063-2404
Phone (816) 607-5333
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 |
|---|---|---|---|
| 2002004976 | MO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1649548827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 NE CHIPMAN RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632404",
"telephone_number": "816-607-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 NE CHIPMAN RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632404",
"telephone_number": "816-607-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDREN",
"first_name": "MELISA",
"middle_name": "IMELDA",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-02",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": "2002004976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.