Active NPI
Amanda Tse
- Occupational Therapist
- Cameron, MO
National Provider Identifier
1659148609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2023039319
- Practice address
- 1111 Euclid Ave
Cameron, MO 64429-2005 - Phone
- (816) 632-6010
- NPI assigned
- Dec 11, 2023
- 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 Therapist | 225X00000X | 2023039319 | MO | Primary |
Addresses
Primary practice location
1111 Euclid Ave
Cameron, MO 64429-2005
Mailing address
141 Cardinal Cir
Lawson, MO 64062-9314
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 |
|---|---|---|---|
| 2023039319 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1659148609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 CARDINAL CIR",
"city": "LAWSON",
"state": "MO",
"postal_code": "640629314"
},
{
"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": "TSE",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-11",
"last_updated": "2023-12-11",
"certification_date": "2023-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2023039319",
"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 Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.