Individual provider Active NPI

Rusve Mae Meninguito Kunz, OTR/L, CLT, CSRS

  • Occupational Therapist
  • Farmington, MO
National Provider Identifier
1942714332
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2007004166 Issued in MO
Practice address
1280 Doctors Dr
Farmington, MO 63640-2932
Phone
(573) 760-8429
NPI assigned
Nov 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 2007004166 MO Primary

Addresses

Primary practice location

1280 Doctors Dr
Farmington, MO 63640-2932

Mailing address

635 Braning Dr
Farmington, MO 63640-7783

Other practice location 1

801 Brim St
Desloge, MO 63601-3441
Phone (573) 431-0223

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
2007004166MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkland Health Center Past Accepting new patients
Farmington Hand and Physical Therapy Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942714332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 BRANING DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 DOCTORS DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402932",
            "telephone_number": "573-760-8429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Brim St",
            "address_purpose": "LOCATION",
            "city": "Desloge",
            "state": "MO",
            "postal_code": "636013441",
            "country_code": "US",
            "telephone_number": "573-431-0223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNZ",
        "first_name": "RUSVE MAE",
        "middle_name": "MENINGUITO",
        "credential": "OTR/L, CLT,  CSRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2007004166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.