Active NPI
Sheila Ann Surmeier, OTR
- Occupational Therapist
- St Joseph, MO
National Provider Identifier
1861537508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 001248
- Practice address
- 1343 Village Drive
St Joseph, MO 64506 - Phone
- (816) 232-2878
- Fax
- (816) 232-5056
- NPI assigned
- Feb 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1700638 | KS | |
| Occupational Therapist | 225X00000X | 001248 | MO | Primary |
Addresses
Primary practice location
1343 Village Drive
St Joseph, MO 64506
Mailing address
4014 W Haverill Dr
Saint Joseph, MO 64506-1339
Phone (816) 351-2019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20623017 | Other | MO | BCBS |
Other names 1
- Ms. Sheila Ann Desbien
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1700638 | KS | MD | Occupational Therapist |
| 001248 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1861537508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4014 W HAVERILL DR",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645061339",
"telephone_number": "816-351-2019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1343 VILLAGE DRIVE",
"city": "ST JOSEPH",
"state": "MO",
"postal_code": "64506",
"telephone_number": "816-232-2878",
"fax_number": "816-232-5056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURMEIER",
"first_name": "SHEILA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "1700638",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "001248",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "20623017",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHEILA",
"last_name": "DESBIEN",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "COTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.