Mindy Hazen

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17-02302 Issued in KS

Practice address

10300 W 103Rd St Ste 300
Overland Park, KS 66214-2658

Phone

(913) 894-1910

NPI assigned

Sep 6, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1982899530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12108 W 50TH CT",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662161362",
            "telephone_number": "913-268-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 W 103RD ST STE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662142658",
            "telephone_number": "913-894-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEN",
        "first_name": "MINDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-02302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "17-02302",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Haynes, LMFT
• Kimberly Kay Haynes, RN, MS, DNP, APR
• Shawna Haynes, P.T.
• Ryan Hays, MD
• John Stephen Hazel, PH.D.
• Shuangteng He
• Head & Neck Surgery of Kansas City P a
• Head and Neck Surgical Associates, PA
• Head Start of Shawnee Mission
• Head Start of Shawnee Mission, Inc.

• Occupational Therapist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.