Active NPI
Dana Elaine Visser
- Occupational Therapist
- Hull, IA
National Provider Identifier
1699245381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 090450
- Practice address
- 807 Main Stree Suite C
Hull, IA 51239-7204 - Phone
- (712) 439-2266
- NPI assigned
- Nov 26, 2018
- 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 Therapist | 225X00000X | 090450 | IA | Primary |
Addresses
Primary practice location
807 Main Stree Suite C
Hull, IA 51239-7204
Mailing address
1101 9TH St SE
Sioux Center, IA 51250-2501
Phone (712) 722-8125
Other practice location 1
1101 9th St SE
Sioux Center, IA 51250-2501
Phone (712) 722-8125
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 |
|---|---|---|---|
| 090450 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1699245381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 9TH ST SE",
"city": "SIOUX CENTER",
"state": "IA",
"postal_code": "512502501",
"telephone_number": "712-722-8125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 MAIN STREE SUITE C",
"city": "HULL",
"state": "IA",
"postal_code": "512397204",
"telephone_number": "712-439-2266"
}
],
"practiceLocations": [
{
"address_1": "1101 9th St SE",
"address_purpose": "LOCATION",
"city": "Sioux Center",
"state": "IA",
"postal_code": "512502501",
"country_code": "US",
"telephone_number": "712-722-8125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VISSER",
"first_name": "DANA",
"middle_name": "ELAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-26",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "090450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hull, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.