Misty Ann Stutes, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1391 Issued in CA

Practice address

1280 Marshall St
Crescent City, CA 95531-2217

Phone

(707) 464-6151

NPI assigned

Mar 22, 2016

Last updated

Mar 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1992167852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 BURCHUM LN",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318506",
            "telephone_number": "562-326-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 MARSHALL ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312217",
            "telephone_number": "707-464-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTES",
        "first_name": "MISTY",
        "middle_name": "ANN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "1391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Ann Starets-Foote, MFT
• State of California Prison Industry Authority
• Randall L Steffens Sr., DO
• Michael Storts
• Colby Austin Strong, PA-C
• Donna Sund, DO
• Sutter Coast Hospital
• Sutter Coast Hospital (Sutter Coast Health Center)
• Sutter Coast Hospital
• Sutter Coast Hospital

• Occupational Therapy Assistant in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.