Individual provider Active NPI

Mary Marie Hoenshell, OTA/L

  • Occupational Therapy Assistant
  • Holden, MO
National Provider Identifier
1669880340
Registry record updated Jul 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2002027532 Issued in MO
Practice address
2005 S Lexington St
Holden, MO 64040-1610
Phone
(816) 732-4138
NPI assigned
Jul 26, 2014
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
2002027532MOMDOccupational Therapy Assistant

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2002027532 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

2005 S Lexington St
Holden, MO 64040-1610

Mailing address

2005 S Lexington St
Holden, MO 64040-1610

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2014.

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406332800000",
    "number": "1669880340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 S LEXINGTON ST",
            "city": "HOLDEN",
            "state": "MO",
            "postal_code": "640401610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 S LEXINGTON ST",
            "city": "HOLDEN",
            "state": "MO",
            "postal_code": "640401610",
            "telephone_number": "816-732-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOENSHELL",
        "first_name": "MARY",
        "middle_name": "MARIE",
        "credential": "OTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-26",
        "last_updated": "2014-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2002027532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holden, MO

Sources for this page

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

Verify at the official NPI Registry.