Jill Dean

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2012039673 Issued in MO

Practice address

35629 Highway 72
Salem, MO 65560-7217

Phone

(972) 457-1069

NPI assigned

Feb 16, 2018

Last updated

Feb 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Pioneer Healthcare Services

  • Skilled Nursing Facility
  • Saint Charles, MO
  • NPI 1811399827
  Authorized official Same address or phone

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1851891709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "NEW MELLE",
            "state": "MO",
            "postal_code": "633650207",
            "telephone_number": "636-634-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35629 HIGHWAY 72",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655607217",
            "telephone_number": "972-457-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2012039673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Polistico Cooper
• Cornerstone Chiropractor Clinic LLC
• Desirea Lynn Counts, LPN
• Covenant Care Services, LLC (Ashley's Place Adult Day Care)
• Kathleen Marie Davis, LPC
• John Demorlis, MD
• Dent County Developmental Disabilities Board
• Dent County Health Center
• Lisa Dewitt, RN
• Elizabeth Rachelle Dillon, RN

• Occupational Therapy Assistant in Salem, MO
• Providers in Salem, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.