Individual provider Active NPI

Natalie A Zivnuska, OTR

  • Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1780017608
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2006023994 Issued in MO
Practice address
8460 Watson Rd
Suite 136
Saint Louis, MO 63119-5247
Phone
(314) 968-4044
Fax
(314) 961-6281
NPI assigned
Aug 14, 2013
Last updated
Aug 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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 2006023994 MO Primary

Addresses

Primary practice location

8460 Watson Rd
Suite 136
Saint Louis, MO 63119-5247

Mailing address

8460 Watson Rd
Suite 136
Saint Louis, MO 63119-5247
Phone (314) 968-4044

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

LicenseStateTypeSpecialty
2006023994MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1780017608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8460 WATSON RD",
            "address_2": "SUITE 136",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195247",
            "telephone_number": "314-968-4044",
            "fax_number": "314-961-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8460 WATSON RD",
            "address_2": "SUITE 136",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195247",
            "telephone_number": "314-968-4044",
            "fax_number": "314-961-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIVNUSKA",
        "first_name": "NATALIE",
        "middle_name": "A",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2006023994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.