Active NPI
Shalee Stevens, OTR/L
- Occupational Therapist
- Centerville, SD
National Provider Identifier
1699033654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0821
- Practice address
- 29238 463Rd Ave
Centerville, SD 57014-6704 - Phone
- (605) 366-2018
- NPI assigned
- Apr 27, 2012
- Last updated
- Nov 8, 2012
- 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 | 0821 | SD | Primary |
Addresses
Primary practice location
29238 463Rd Ave
Centerville, SD 57014-6704
Mailing address
29238 463Rd Ave
Centerville, SD 57014-6704
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1699033654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29238 463RD AVE",
"city": "CENTERVILLE",
"state": "SD",
"postal_code": "570146704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29238 463RD AVE",
"city": "CENTERVILLE",
"state": "SD",
"postal_code": "570146704",
"telephone_number": "605-366-2018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "SHALEE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-27",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SD",
"license": "0821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, SD
- Pioneer Memorial Hospital & Health Services (Centerville Medical Clinic)
- Pioneer Memorial Hospital &Health Services (Centerville Medical Clinic)
- Pioneer Memorial Hospital and Health Services (Centerville Community Pharmacy)
- Kalli Price
- Justine Katherine Sanderson, COTA/L
- Sierra Stroeing, PA-C
- The Evangelical Lutheran Good Samaritan Society (Scotland Good Samaritan Center)
- The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Centerville)
- Candace L Verdoorn, CNP
- Megan Walding, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.