Active NPI
Haley Misner
- Occupational Therapy Assistant
- Rolla, MO
National Provider Identifier
1679349674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2019010272
- Practice address
- 500 Forum Dr
Rolla, MO 65401-4602 - Phone
- (573) 458-0100
- NPI assigned
- Nov 30, 2023
- Last updated
- Aug 25, 2025
- 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 | 2019010272 | MO | Primary |
Addresses
Primary practice location
500 Forum Dr
Rolla, MO 65401-4602
Mailing address
500 Forum Dr
Rolla, MO 65401-4602
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 |
|---|---|---|---|
| 2019010272 | MO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1679349674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FORUM DR",
"city": "ROLLA",
"state": "MO",
"postal_code": "654014602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FORUM DR",
"city": "ROLLA",
"state": "MO",
"postal_code": "654014602",
"telephone_number": "573-458-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISNER",
"first_name": "HALEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-30",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": "2019010272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rolla, MO
- Joshua Ryan Miller, DO
- Margaret P. Miller, L.C.S.W.
- Jonathan Lee Minor, M.D.
- Miracl, LLC
- Miracl, LLC
- Missouri CVS Pharmacy LLC (CVS Pharmacy #10280)
- Missouri Home Care (An Auxi Health Company)
- Missouri Home Care (Auxi Health Company)
- Missouri Home Care of Rolla (Auxi Health Company)
- Missouri Home Care of Rolla (Auxi Health Company)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.