Active NPI
Katie Jones
- Occupational Therapist
- Lebanon, MO
National Provider Identifier
1801921929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2001030555
- Practice address
- 22864 Perimeter Lane
Lebanon, MO 65536 - Phone
- (417) 532-6528
- Fax
- (417) 532-2435
- NPI assigned
- Feb 22, 2007
- Last updated
- Mar 17, 2014
- 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 | 2001030555 | MO | Primary |
Addresses
Primary practice location
22864 Perimeter Lane
Lebanon, MO 65536
Mailing address
PO Box 1023
Lebanon, MO 65536-1023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 475399815 | Medicaid | MO |
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 |
|---|---|---|---|
| 2001030555 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laclede Early Education Program | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmentally Disabled Services Day Training Agency
- Lebanon, MO
- NPI 1477608644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1801921929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1023",
"city": "LEBANON",
"state": "MO",
"postal_code": "655361023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22864 PERIMETER LANE",
"city": "LEBANON",
"state": "MO",
"postal_code": "65536",
"telephone_number": "417-532-6528",
"fax_number": "417-532-2435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2001030555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "475399815",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.