Active NPI
Amy Jo Winjum, OTR/L
- Occupational Therapist
- Arthur, ND
National Provider Identifier
1992992341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 792
- Practice address
- 150 County Rd 34
Arthur Good Samaritan Center
Arthur, ND 58006-4100 - Phone
- (701) 967-8316
- Fax
- (701) 967-8961
- NPI assigned
- Oct 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 792 | ND | Primary |
| Occupational Therapist | 225X00000X | 103188 | MN |
Addresses
Primary practice location
150 County Rd 34
Arthur Good Samaritan Center
Arthur, ND 58006-4100
Mailing address
3585 Buchanan St S
Fargo, ND 58104-7508
Phone (701) 388-4604
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 792 | ND | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191196800000",
"number": "1992992341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3585 BUCHANAN ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581047508",
"telephone_number": "701-388-4604",
"fax_number": "218-233-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 COUNTY RD 34",
"address_2": "ARTHUR GOOD SAMARITAN CENTER",
"city": "ARTHUR",
"state": "ND",
"postal_code": "580064100",
"telephone_number": "701-967-8316",
"fax_number": "701-967-8961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINJUM",
"first_name": "AMY",
"middle_name": "JO",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-01",
"last_updated": "2007-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "792",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "103188",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arthur, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.