Active NPI
Shawn W Macklin
- Occupational Therapist
- Mount Vernon, MO
National Provider Identifier
1710240494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2000159256
- Practice address
- 731 S Landrum St
Special Services -- Claim Care
Mount Vernon, MO 65712-1723 - Phone
- (417) 466-7573
- NPI assigned
- Jun 19, 2012
- Sex
- Male
- 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 | 2000159256 | MO | Primary |
Addresses
Primary practice location
731 S Landrum St
Special Services -- Claim Care
Mount Vernon, MO 65712-1723
Mailing address
1662 N Oakfair PL
Springfield, MO 65802-7535
Phone (417) 461-5469
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 |
|---|---|---|---|
| 2000159256 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1710240494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1662 N OAKFAIR PL",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658027535",
"telephone_number": "417-461-5469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 S LANDRUM ST",
"address_2": "SPECIAL SERVICES -- CLAIM CARE",
"city": "MOUNT VERNON",
"state": "MO",
"postal_code": "657121723",
"telephone_number": "417-466-7573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKLIN",
"first_name": "SHAWN",
"middle_name": "W",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2000159256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.