Individual provider Active NPI

Emily Nicole Stuifbergen

  • Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1831406073
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2009021236 Issued in MO
Practice address
7733 Forsyth Blvd Ste 2300
Saint Louis, MO 63105-1806
Phone
(314) 863-7422
NPI assigned
Sep 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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 2009021236 MO Primary

Addresses

Primary practice location

7733 Forsyth Blvd Ste 2300
Saint Louis, MO 63105-1806

Mailing address

2349 Menard St Apt D
Saint Louis, MO 63104-4264
Phone (512) 924-4364

Other identifiers 1

IdentifierTypeStateIssuer
2009021236OtherMOSTATE OF MISSOURI

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
2009021236MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1831406073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 MENARD ST APT D",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631044264",
            "telephone_number": "512-924-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7733 FORSYTH BLVD STE 2300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051806",
            "telephone_number": "314-863-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUIFBERGEN",
        "first_name": "EMILY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2009021236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSOURI",
            "identifier": "2009021236",
            "state": "MO"
        }
    ],
    "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 Sep 9, 2010; 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.