Individual provider Active NPI

Janice Kay Herold-Maho, OTR-L

  • Pediatric Occupational Therapist
  • Maplewood, MN
National Provider Identifier
1992849590
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
100855 Issued in MN
Practice address
2495 Maplewood Drive
Suite 313
Maplewood, MN 55109-1913
Phone
(651) 770-8884
Fax
(651) 770-8151
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 100855 MN Primary

Addresses

Primary practice location

2495 Maplewood Drive
Suite 313
Maplewood, MN 55109-1913

Mailing address

551 Little Canada Rd E
Little Canada, MN 55117-1633
Phone (651) 490-5205

Other names 1

  • Janice Kay Herold Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1992849590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 LITTLE CANADA RD E",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171633",
            "telephone_number": "651-490-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 MAPLEWOOD DRIVE",
            "address_2": "SUITE 313",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091913",
            "telephone_number": "651-770-8884",
            "fax_number": "651-770-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROLD-MAHO",
        "first_name": "JANICE",
        "middle_name": "KAY",
        "credential": "OTR-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "100855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "HEROLD",
            "middle_name": "KAY",
            "credential": "OTR-L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.