Active NPI
Miranda Zeeveld
- Occupational Therapy Assistant
- Sheboygan Falls, WI
National Provider Identifier
1881806487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1954-027
- Practice address
- 300 Mill St
Employee Health Center
Sheboygan Falls, WI 53085-1807 - Phone
- (920) 467-5212
- NPI assigned
- May 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1954-027 | WI | Primary |
Addresses
Primary practice location
300 Mill St
Employee Health Center
Sheboygan Falls, WI 53085-1807
Mailing address
1650 Tri Park Way
Suite a
Appleton, WI 54914-1601
Phone (920) 830-6697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41038900 | Medicaid | WI |
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 |
|---|---|---|---|
| 1954-027 | WI | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blankenheim Services, LLC | Past | Accepting new patients | |
| Blankenheim Occupational Therapy | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Appleton, WI
- NPI 1992977862
-
- Occupational Therapist
- Rochester, NY
- NPI 1588981054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1881806487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 TRI PARK WAY",
"address_2": "SUITE A",
"city": "APPLETON",
"state": "WI",
"postal_code": "549141601",
"telephone_number": "920-830-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MILL ST",
"address_2": "EMPLOYEE HEALTH CENTER",
"city": "SHEBOYGAN FALLS",
"state": "WI",
"postal_code": "530851807",
"telephone_number": "920-467-5212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEEVELD",
"first_name": "MIRANDA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WI",
"license": "1954-027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41038900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.