NPIMap

Organization Active NPI

Shana Cerny LLC

  • Occupational Therapist
  • Vermillion, SD
National Provider Identifier
1821403098
Registry record updated Jun 26, 2014
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Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0797 Issued in SD
Legal business name
SHANA CERNY LLC
Practice address
119 N Yale St
Vermillion, SD 57069-2720
Phone
(605) 759-2291
NPI assigned
Jun 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Shana L Cerny, OTD
Title
Otr/L
Phone
(605) 759-2291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 0797 SD Primary

Addresses

Primary practice location

119 N Yale St
Vermillion, SD 57069-2720

Mailing address

119 N Yale St
Vermillion, SD 57069-2720
Phone (605) 759-2291

Other identifiers 2

IdentifierTypeStateIssuer
1831473990MedicaidSD
1831473990MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1821403098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N YALE ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692720",
            "telephone_number": "605-759-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N YALE ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692720",
            "telephone_number": "605-759-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANA CERNY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "CERNY",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "605-759-2291",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "0797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831473990",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831473990",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermillion, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.

Verify at the official NPI Registry.