Individual provider Active NPI

Callie Jo Schumacher, OTR/L

  • Occupational Therapist
  • Fargo, ND
National Provider Identifier
1720355175
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1154 Issued in ND
Practice address
2829 University Dr S
Fargo, ND 58103-6050
Phone
(701) 478-7868
Fax
(701) 478-0309
NPI assigned
Nov 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1154 ND Primary

Addresses

Primary practice location

2829 University Dr S
Fargo, ND 58103-6050

Mailing address

2829 University Dr S
Fargo, ND 58103-6050
Phone (701) 478-7868

Other names 1

  • Miss Callie Jo Urness Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1154NDMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1720355175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036050",
            "telephone_number": "701-478-7868",
            "fax_number": "701-478-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036050",
            "telephone_number": "701-478-7868",
            "fax_number": "701-478-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMACHER",
        "first_name": "CALLIE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALLIE",
            "last_name": "URNESS",
            "middle_name": "JO",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.